MR. KEITH FORT, PA-C

Physician Assistant

Active Individual

NPI: 1487888061

Practice Address

2400 MOUNT ZION PKWY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
Jonesboro, GA 30236

Specialties

Specialty	Code	Primary	License
Physician Assistant	363A00000X	Yes	006400 (GA)
Physician Assistant - Surgical	363AS0400X	No	25MP00214500 (NJ)

Frequently Asked Questions

NPI 1487888061 is the National Provider Identifier for MR. KEITH FORT, PA-C, a Physician Assistant provider located in Jonesboro, GA. This NPI was enumerated on May 11, 2009.

MR. KEITH FORT, PA-C practices at 2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, Jonesboro, GA 30236.

Quick Facts

NPI: 1487888061
Type: Individual
Enumerated: May 11, 2009
Last Updated: Jan 10, 2022

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