Individual
MRS. KAITLIN BITTINGER ECIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
228 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 479-1870
(770) 479-9705
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 288-9555
(678) 288-9556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN213534
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003248273A
—
GA
01
—
G25424A
MEDICARE
GA
Enumeration date
03/09/2021
Last updated
06/03/2021
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