Individual provider · Type 1 NPI

Virginia Souris Keating, NP-C

Gerontology Nurse Practitioner · Atlanta, GA

NPI number 1023474582 Active

Practice location

3715 Northside Pkwy NW, 400 Northcreek, Ste. 150
Atlanta, GA 30327-2882

Fax (404) 233-0490

Mailing address

4035 Whitewater Creek Rd NW
Atlanta, GA 30327-3946

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN181526 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1023474582

Virginia Souris Keating, NP-C's National Provider Identifier is 1023474582, issued on Jan 13, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Atlanta, GA. The record was last updated on Jan 13, 2016.