Individual
DR. COSMO FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 N PARK PL STE 200, STOCKBRIDGE, GA 30281-7209
(678) 289-7960
(678) 289-7962
Mailing address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(678) 289-7960
(678) 289-7962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.248169
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
102571
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
57.248169
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
102571
GA
Other
Enumeration date
07/18/2019
Last updated
10/30/2025
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