Individual
DR. BRIAN T FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1068 CRESTHAVEN RD STE 400, MEMPHIS, TN 38119-0845
(901) 448-6650
(901) 302-2486
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
48454
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003181478A
—
GA
05
—
005372219
—
MS
05
—
1093987893
—
MO
05
—
1528624
—
TN
05
—
182749
—
AL
05
—
193108001
—
AR
Enumeration date
04/01/2008
Last updated
02/21/2025
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