Individual
WILLIAM FOWLKES IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DR, LOUISBURG, NC 27549-2256
(919) 497-8411
Mailing address
861 SW 78TH AVE, SUITE # 100B, PLANTATION, FL 33324-3273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NC
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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