Individual
KAITLIN ALYSSA GIDDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 N HOUSTON RD, WARNER ROBINS, GA 31093-1505
(478) 231-5977
Mailing address
472 ORANGE ST, MACON, GA 31201-6734
(478) 231-5977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
11514
GA
Other
Enumeration date
09/09/2018
Last updated
02/07/2025
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