Search › Georgia › 207R00000X
Keith Walters
NPI 1174264907 · on the registry since 2022
Practice
- Address
- 2220 Jonesboro Rd Ste 101a
Fairburn, GA 30213 - Phone
- (770) 400-4590
Additional practice sites
- 1500 Oglethorpe Ave Ste 200d, Athens, GA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia