Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARSUEDE KEATON
Active Sole ProprietorCHARSUEDE KEATON is a Behavioral Health, Residential healthcare provider located in BAINBRIDGE, Georgia. NPI 1144733585 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · BAINBRIDGE, GA
Registration Details
- NPI Number
- 1144733585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2017 (8.7991566429704 yrs)
- Last Updated
- Nov 7, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
134 LYNNWOOD DRBAINBRIDGE, GA, 398196446Browse GA providers · Browse ZIP 39819
- Phone
- 2294003735
- Fax
- 2294003735
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.