Individual
DR. GRANT PHILLIPS FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1520 MILITARY ST S, HAMILTON, AL 35570-5006
(205) 921-5499
Mailing address
1520 MILITARY ST S, HAMILTON, AL 35570-5006
(205) 921-5499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-D80-TA-A80
AL
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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