Individual
TODD A FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 HEART DR STE B, JOHNSON CITY, TN 37604
(423) 433-6390
(423) 433-6391
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101270439
VA
207Q00000X
Family Medicine Physician
24265
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
0101270439
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
24265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075096
—
TN
Enumeration date
04/18/2006
Last updated
04/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us