Individual
ALEXIS FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9829 HIGHWAY 19 N, ZEBULON, GA 30295-3134
(770) 486-1140
Mailing address
200 WESTPARK DR STE 325, PEACHTREE CITY, GA 30269-3574
(770) 632-5444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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