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Individual
DR. THOMAS D FOWLKES
Active
Individual
DR. THOMAS D FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13406
MS
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
13406
MS
208D00000X
General Practice Physician
13406
MS
Other
Enumeration date
10/05/2006
Last updated
07/10/2012
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