Provider Demographics
NPI:1710034590
Name:BIRON, KEITH DOUGLAS (CSA)
Entity Type:Individual
Prefix:MR
First Name:KEITH
Middle Name:DOUGLAS
Last Name:BIRON
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Gender:M
Credentials:CSA
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Mailing Address - Street 1:2108 TERON TRCE
Mailing Address - Street 2:#100
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-1666
Mailing Address - Country:US
Mailing Address - Phone:678-318-8020
Mailing Address - Fax:678-318-8025
Practice Address - Street 1:2108 TERON TRCE
Practice Address - Street 2:#100
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-1666
Practice Address - Country:US
Practice Address - Phone:678-318-8020
Practice Address - Fax:678-318-8025
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2013-07-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist