Individual
MR. GARY MATTHEW FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 CARAWAY DR, SUITE A, WINFIELD, AL 35594-5067
(205) 487-1586
(205) 487-1589
Mailing address
191 CARAWAY DR, SUITE A, WINFIELD, AL 35594-5067
(205) 487-1586
(205) 487-1589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18265
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000046678
—
AL
Enumeration date
10/26/2005
Last updated
12/11/2024
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