MEDICARE: DR. KEITH DINKLAGE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	52519	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000191328	OTHER	IN	BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538243498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEITH DINKLAGE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 117598
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-7598
Country	:	US
Telephone Number	:	770-442-1911
Fax Number	:	770-442-0306

Provider Business Practice Location Address
First Line	:	1612 HIGHWAY 78 EAST
Second Line	:	SUITE 100
City	:	OXFORD
State	:	AL
Zip	:	36203-5862
Country	:	US
Telephone Number	:	256-835-4756
Fax Number	:	256-831-5736

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	04/22/2026

Similar Medicare Providers

1720067739 — DR. EDWIN ANDERSON KEEL MD
Practice Location Address:

1612 US HIGHWAY 78 E , SUITE 100
OXFORD, AL
36203-5862

Practice Phone: 256-835-4756
Practice Fax: 256-831-5736

1366495160 — MR. RICK ARLIN OTWELL PA-C
Practice Location Address:

1612 HIGHWAY 78 EAST , SUITE 100
OXFORD, AL
36203-5862

Practice Phone: 256-835-4756
Practice Fax: 256-831-5736

1124224753 — DR. CHARLES WHITLEY EMERSON III M.D.
Practice Location Address:

1612 HIGHWAY 78 EAST , SUITE 100
OXFORD, AL
36203-5862

Practice Phone: 256-835-4756
Practice Fax: 256-831-5736

1609719889 — AISHA CHATMAN
Practice Location Address:

5065 US HIGHWAY 78 W STE A
OXFORD, AL
36203-6132

Practice Phone: 205-565-8505
Practice Fax:

1013850239 — KAYLA ELIZABETH BRYARS
Practice Location Address:

1604 WOODLAND DR
OXFORD, AL
36203-2736

Practice Phone: 251-709-2082
Practice Fax:

1437092269 — BRANDON HEATH OTR/L
Practice Location Address:

320 SNOW ST STE A
OXFORD, AL
36203-5402

Practice Phone: 256-770-5009
Practice Fax: 844-592-2568

Directions to “ DR. KEITH DINKLAGE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.