Individual
DELANCEY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 CLINIC DR, DOTHAN, AL 36303-1980
(334) 793-1881
(334) 712-1815
Mailing address
126 CLINIC DR, DOTHAN, AL 36303-1980
(334) 793-1881
(334) 712-1815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-143521
AL
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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