Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH R. HARRIS, M.D.
ActiveKEITH R. HARRIS, M.D. is a Dermatology healthcare provider located in CARTERSVILLE, Georgia. NPI 1922090224 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CARTERSVILLE, GA
Registration Details
- NPI Number
- 1922090224
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2005 (21.017542798457 yrs)
- Last Updated
- Oct 8, 2020
- Licenses
-
050930 (GA)050930 (GA)
Practice Information
- Address
-
100 MARKET PLACE BLVD STE 300CARTERSVILLE, GA, 301218717Browse GA providers · Browse ZIP 30121
- Phone
- 4704909600
- Fax
- 4704471815
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
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.