Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Keith Fowler, CSA

Individual provider Surgical Technologist · NPI 1265532881

Mr. Keith Fowler, CSA is a Surgical Technologist in Lithonia, Georgia. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3717 Meadow Vista Trl
Lithonia, GA 30038-7736
Phone: (404) 803-0110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X

Record details

NPI number1265532881
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedSeptember 24, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 361972, Decatur, GA 30036-1972

Other providers in Lithonia