DR. KEITH MICETICH, MD

Specialist

Active Individual
NPI: 1427026137

Practice Address

72 PHYSICIANS DR
Jackson, TN 38305

Phone: (731) 668-4455

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 26274 (TN)

Frequently Asked Questions

NPI 1427026137 is the National Provider Identifier for DR. KEITH MICETICH, MD, a Specialist provider located in Jackson, TN. This NPI was enumerated on March 9, 2006.
DR. KEITH MICETICH, MD practices at 72 PHYSICIANS DR, Jackson, TN 38305.

Quick Facts

NPI
1427026137
Type
Individual
Enumerated
Mar 9, 2006
Last Updated
Nov 2, 2011

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