Individual
MR. JIMMIE LEE FOWLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
181 LOLA ST, COLBERT, GA 30628-6644
(706) 296-1979
(706) 296-1979
Mailing address
181 LOLA ST, COLBERT, GA 30628-6644
(706) 296-1979
(706) 296-1979
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
RN285050
GA
Other
Enumeration date
01/03/2026
Last updated
01/03/2026
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