Mrs. Virginia Souris Keating
Nurse Practitioner - Gerontology
3715 Northside Pkwy Nw 400 Northcreek, Ste. 150
Atlanta
, Georgia 30327-2882
Mrs. Virginia Souris Keating
Nurse Practitioner - Gerontology
3715 Northside Pkwy Nw 400 Northcreek, Ste. 150
Atlanta
, Georgia 30327-2882
(404) 233-0490
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Virginia Souris Keating
- 4035 Whitewater Creek Rd Nw
- Atlanta, GA
- Zip : 30327-3946
- Fax : (404) 233-0490
- Phone : (404) 233-5252
Second Address
- Mrs. Virginia Souris Keating
- 3715 Northside Pkwy Nw 400 Northcreek, Ste. 150
- Atlanta, GA
- Zip : 30327-2882
- Fax : (404) 233-0490
- Phone : (404) 233-5252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN181526 | GA |
National Provider Identifier
| NPI | 1023474582 |
|---|---|
| Provider Name | Mrs. Virginia Souris Keating |
| First Address | Atlanta, GA 30327-3946 |
| Second Address | Atlanta, GA 30327-2882 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2016 |
| Last Update Date | 13/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RN181526 | PROFESSIONAL LICENSE NP-C (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.