Dr. Keith Milton Stillions, O.D.
Optometrist in Griffin, GA. Individual provider (NPI-1).
NPI number1104969005
StatusActive
Last updated in NPPESMar 12, 2021
Details
- NPI
- 1104969005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keith Milton Stillions
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2007
- Certification date
- Mar 12, 2021
- Last updated
- Mar 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT001126 | GA | Yes |
Practice location
646 S 8th StGriffin, GA 30224-4214
Phone 770-228-3836 · Fax 770-412-1733
Mailing address
646 S 8th StGriffin, GA 30224-4214
Phone 770-228-3836 · Fax 770-412-1733
Other practice locations
1075 Bandy Pkwy Ste 110
Locust Grove, GA 30248-7036
Locust Grove, GA 30248-7036
Phone 770-228-3836 · Fax 770-412-1733
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