P Praxis·MD
● Active Type 1 · Individual

Keisha Etienne

Technician, Pathology·Conyers, GA· NPI 1629808886 · Enumerated 2024 · 1 years on NPI
Etienne is 1 of 9 technician, pathology providers in Conyers and 1 of 307 in Georgia.
NPI age
1 years
Enumerated 2024-08-02
Primary specialty
Technician, Pathology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 307 active technician, pathology providers in Georgia.

NPI age
1 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-08Enumerated in NPPES
2024 2026

Where they practice

Practice location
1311 Milstead Ave Ne Ste 321
Conyers, GA 300123829
📞 6785999800
Mailing address
1311 Milstead Ave Ne Ste 321
Conyers, GA 300123829
📞 6785999800

Specialties

  • Technician, Pathology Primary
    Definition to come...
    GA license #C9P8A7M3 taxonomy 246RP1900X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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