Mr. Keith Fowler, CSA
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 TrlLithonia, GA 30038-7736
Phone: (404) 803-0110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Technologist (primary) | Taxonomy 246ZS0410X |
|---|
Record details
| NPI number | 1265532881 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSA |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | Po Box 361972, Decatur, GA 30036-1972 |
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