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KEATON PEAK
Nurse Practitioner
NPI: 1467017335IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
1-147512(AL)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
1-147512(AL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Class of 2018
Contact & Hours
- Address
- 1108 ROSS CLARK CIR
DOTHAN, AL 36301 - Phone
- (334) 793-8111
Quick Facts
- NPI
- 1467017335
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 8
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