Provider Demographics
NPI:1356439400
Name:KEELING, MARGARET BENNETT (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:BENNETT
Last Name:KEELING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 CHURCH ST NE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1110
Mailing Address - Country:US
Mailing Address - Phone:770-793-9750
Mailing Address - Fax:770-919-0581
Practice Address - Street 1:699 CHURCH ST NE
Practice Address - Street 2:SUITE 500
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1110
Practice Address - Country:US
Practice Address - Phone:770-793-9750
Practice Address - Fax:770-919-0581
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY44377207V00000X
FLAD9470826-503839207V00000X
FLME97309207VX0000X
GA60523207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK010602OtherMEDICARE PTAN- WOMEN'S SPECIALISTS
FL278528500Medicaid
KY7100181640Medicaid
FL78226OtherBLUE CROSS BLUE SHIELD
FL278528500Medicaid