Individual
DR. GEORGE PHILIP FOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
3000 NEW BERN AVE, WAKEMED NEUROPSYCHOLOGY, RALEIGH, NC 27610-1231
(919) 350-8866
(919) 350-7130
Mailing address
3000 NEW BERN AVE., WAKEMED NEUROPSYCHOLOGY, RALEIGH, NC 27610
(919) 350-8866
(919) 350-7130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1260
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046RM
—
NC
Enumeration date
08/31/2006
Last updated
07/08/2007
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