Individual
MEGHAN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, ITAT
Contact information
Practice address
3737 BROCK RD, DULUTH, GA 30096-2724
(404) 938-7762
Mailing address
5540 GARENS WAY, FLOWERY BRANCH, GA 30542-2925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0000001709
TN
2255A2300X
Athletic Trainer
Primary
AT002669
GA
Other
Enumeration date
02/06/2014
Last updated
12/23/2022
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