Search › Georgia › 363A00000X
Keith Fort, PA-C
NPI 1487888061 · on the registry since 2009
Practice
- Address
- 2400 Mount Zion Pkwy
Kaiser Permanente Southwood Medical Center
Jonesboro, GA 30236 - Phone
- (201) 943-9100
- Fax
- (201) 943-7308
- Organisation at this address
- Kaiser Foundation Health Plan Of Georgia Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 140
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363AS0400X - Licence states on file
- GA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-10
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