Keating, William Joseph
Keating, William Joseph is an sole proprietor health care provider with primary practice located at 1080 Lumpkin Campground Rd S Suite 300, Dawsonville GA 30534-0989. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Keating, William Joseph can be contacted via phone (706) 265-4100.Contact Information
Primary practice address
1080 Lumpkin Campground Rd S Suite 300
Dawsonville GA 30534-0989
Phone: (706) 265-4100
Fax: (706) 265-4132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 052971 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 052971 | Georgia |
Profile Details
| NPI number | 1104975002 |
|---|---|
| LBN Legal business name | Keating, William Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Aug 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104975002 | NPPES |
| Georgia | Other | 10050796 | AMERIGROUP |
| Georgia | Other | 325908 | AMERIGROUP |
| Georgia | MEDICAID | 000385310A | AMERIGROUP |
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