MR. KEITH WESLEY FORT, PA-C
Physician Assistant in Jonesboro, GA

License number
Georgia 25MP00214500
Category
Nursing
Type
Surgical
License number
Georgia 6400
Category
Nursing
Type
Physician Assistant
License number
Georgia 006400
Category
Nursing
Type
Physician Assistant
Address
Address 2
2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Ctr, Jonesboro, GA 30236
3495 NE Nine Piedmont Ctr, Atlanta, GA 30305
Phone
(201) 943-9100
(201) 943-7308 (Fax)
(404) 504-5678
(201) 862-0095 (Fax)
National Provider ID: 1487888061
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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