License holder summary

FORT, KEITH WESLEY is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for FORT, KEITH WESLEY is 1968 PEACHTREE ROAD, Atlanta 30309. This doctor license is current. The license was granted 03/29/2012 and expired on 01/31/2018.

Georgia

Composite Medical Board

FORT, KEITH WESLEY
Medical - Physician Assistant
License number
006400
Date granted
03/29/2012
Date expires
01/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
1968 PEACHTREE ROAD
georgiadoctors.net
ID 38098064
LAST UPDATED 2026-05-22 04:41:59 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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