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NPI Code Detail

MEDICARE: KEEVIL W. HELMLY PA-C

MEDICARE:   KEEVIL W. HELMLY  PA-C
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
1363A00000XPhysician Assistant002002GA

General Provider Information

NPI Number : 1952556029
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEEVIL W. HELMLY PA-C
Provider Business Mailing Address
First Line : 925 N POINT PKWY
Second Line : STE 130
City : ALPHARETTA
State : GA
Zip : 30005-5210
Country : US
Telephone Number : 678-206-2589
Fax Number : 678-261-1713
Provider Business Practice Location Address
First Line : 2365 OLD MILTON PKWY
Second Line : SUITE 300
City : ALPHARETTA
State : GA
Zip : 30009-2140
Country : US
Telephone Number : 770-740-1860
Fax Number : 678-347-2104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2008
Last Update Date : 12/20/2016

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Directions to “ KEEVIL W. HELMLY PA-C” Practice Location

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