Individual
DR. NICOLE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0817
(434) 924-9333
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 245-5380
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101286265
VA
207Y00000X
Otolaryngology Physician
35.123544
OH
207Y00000X
Otolaryngology Physician
MD60358087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105336
—
OH
05
—
1134398746
—
WA
Enumeration date
02/27/2008
Last updated
08/12/2025
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