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KEITH FORT, PA-C
PA-C
Physician Assistant
NPI: 1487888061IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
6400(GA)006400(GA)
Surgical Physician Assistant
Physician Assistant — Surgical
Code: 363AS0400X
25MP00214500(NJ)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236 - Phone
- (201) 943-9100
Quick Facts
- NPI
- 1487888061
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 18
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