MR. Keith Wesley Fort, PA-C

NPI #1487888061 in Jonesboro, Georgia

Provider Information

NPI Number
1487888061
Entity Type
Individual
Name
MR. Keith Wesley Fort, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 11, 2009
Last Updated
Jan 10, 2022

Practice Location

Address
2400 MOUNT ZION PKWY
Address 2
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
State
Georgia
ZIP Code
30236-2500
Phone
(201) 943-9100

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - SurgicalSurgical

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