Individual
MICHAEL ANTHONY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC MPAS
Contact information
Practice address
105 SPANISH COURT, ALBANY, GA 31707
(229) 438-7100
(229) 438-9382
Mailing address
105 SPANISH COURT, ALBANY, GA 31707
(229) 438-7100
(229) 438-9382
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
1860
GA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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