Individual
CALISTA FILLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5445 MERIDIAN MARK RD, ATLANTA, GA 30342-4763
(404) 785-5650
Mailing address
23645 PLYWOOD MILL RD, ANDALUSIA, AL 36421-1827
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
09/17/2024
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