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Individual
DIANA M FOWLER
Active
Individual
DIANA M FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA/AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002468
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001578A
—
GA
05
—
100001578B
—
GA
05
—
100001578C
—
GA
05
—
100001578D
—
GA
01
—
336920
WELLCARE
GA
01
—
970026294
RAILROAD MEDICARE
GA
Enumeration date
08/04/2006
Last updated
09/29/2026
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