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Keith Backmon
NPI 1912556069 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5658 Rex Ridge Loop
Rex, GA 30273 - Phone
- (404) 849-9419
- Fax
- (678) 586-3370
- Organisation at this address
- Klb Transportation Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-17
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