Individual
JOSHUA DAVIS FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BRANDON RD, STARKVILLE, MS 39759-2571
(601) 354-4836
Mailing address
120 TUXFORD RD, STARKVILLE, MS 39759-4061
(662) 645-5674
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33101
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
06/27/2024
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