Individual
DR. BRIAN ZACH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
908 W. 4TH NORTH STREET, MORRISTOWN, TN 37814-3894
(423) 492-6200
(423) 492-6201
Mailing address
P.O. BOX 24120, KNOXVILLE, TN 37933-2120
(865) 803-4321
(865) 988-5658
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
53446
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000637445
ANTHEM BCBS
—
05
—
1521996
—
TN
Enumeration date
03/22/2006
Last updated
09/05/2023
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