<Unavail>

LBN: Keith M Dockery, Md Pc
<Unavail> is an health care organization with primary practice located at 1800 Peachtree St Nw Suite 700, Atlanta GA 30309-2519. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. Keith M Dockery, Md Pc can be contacted via phone (404) 350-7966, or through Dill, Melissa Parks via phone (404) 350-7966.

Contact Information

Primary practice address
1800 Peachtree St Nw Suite 700 Atlanta GA 30309-2519
Phone: (404) 350-7966
Fax: (404) 350-7968
Website:
Map and Directions
Authorized official contact:
Name: Dill, Melissa Parks
Phone: (404) 350-7966

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD003711 Georgia

Profile Details

NPI number 1003000308
LBN Legal business name Keith M Dockery, Md Pc
DBA Doing business as <Unavail>
Authorized official Dill, Melissa Parks
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2007
Last updated Mar 22nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003000308 NPPES
Georgia MEDICAID 443781A

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