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Individual

DR. CHRISTOPHER SCOTT FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5230 HIGHWAY 80 E, SUITE A, PEARL, MS 39208-8921
(601) 932-1070
(601) 932-9020
Mailing address
PO BOX 1526, BRANDON, MS 39043-1526
(601) 932-1070
(601) 932-9020

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1017
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125702
MS
Enumeration date
08/31/2006
Last updated
02/05/2008
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