Organization
JOHN W FOWLER JR. MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W FOWLER MD (SOLE MEMBER)
(901) 844-2500
Entity
Organization
Contact information
Practice address
184 COLONIAL RD, MEMPHIS, TN 38117-3206
(901) 844-2500
Mailing address
PO BOX 770175, MEMPHIS, TN 38177-0175
(901) 844-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD011043
TN
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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