NPI age
19 years
Enumerated 2006-09-24
● Active
Type 1 · Individual
MR. Keith Fowler, CSA
Fowler is 1 of 4 specialist/technologist, other providers in Lithonia and 1 of 92 in Georgia.
Primary specialty
Specialist/Technologist, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 92 active specialist/technologist, other providers in Georgia.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
3717 Meadow Vista Trl
Lithonia, GA 300387736
Mailing address
Po Box 361972
Decatur, GA 300361972
Specialties
-
Specialist/Technologist, Other PrimarySurgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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