Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH BACKMON
Active Sole ProprietorKEITH BACKMON is a Bus healthcare provider located in REX, Georgia. NPI 1912556069 is currently active in the NPPES registry. Verify at CMS.
Bus · REX, GA
Registration Details
- NPI Number
- 1912556069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2019 (6.9116670954407 yrs)
- Last Updated
- Sep 17, 2021
- License
-
BL-001113-2019 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5658 REX RIDGE LOOPREX, GA, 302735237Browse GA providers · Browse ZIP 30273
- Phone
- 4048499419
- Fax
- 6785863370
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in REX, GA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH JUPITER | — | 1699542175 |
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.