Individual
KAITLYN ELIZABETH FILLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
15 MEDICAL DR NE STE 201, CARTERSVILLE, GA 30121-8005
(770) 386-5221
Mailing address
15 MEDICAL DR NE STE 201, CARTERSVILLE, GA 30121-8005
(770) 386-5221
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
157270
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157270
THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
GA
Enumeration date
07/05/2018
Last updated
07/05/2018
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