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Individual

MR. BRIAN PATRICK KITTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CST, CSFA

Contact information

Practice address
2537 CEDARCREST RD STE 305-14, ACWORTH, GA 30101-8900
(470) 336-8190
(770) 336-6620
Mailing address
2537 CEDARCREST RD STE 305-14, ACWORTH, GA 30101-8900
(470) 336-8190
(770) 336-6620

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
213054
GA

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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