Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 44377 | KY |
Y | 207V00000X | Obstetrician & Gynecologist | 60523 | GA |
N | 207V00000X | Obstetrician & Gynecologist | AD9470826-503839 | FL |
N | 207VX0000X | Obstetrician | ME97309 | FL |
NPI | 1356439400 |
---|---|
Provider Name | Dr. Margaret Bennett Keeling |
First Address | Marietta, GA 30060-1110 |
Second Address | Marietta, GA 30060-1110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 14/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
278528500 | (05) | FL |
7100181640 | (05) | KY |
78226 | BLUE CROSS BLUE SHIELD (01) | FL |
K010602 | MEDICARE PTAN- WOMEN'S SPECIALISTS (01) | KY |