Individual
DR. KIMBERLYN DARLENE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2040 EAGLE RIDGE DR SW, CONYERS, GA 30094-3377
(470) 328-2579
Mailing address
2040 EAGLE RIDGE DR SW, CONYERS, GA 30094-3377
(470) 488-7092
(470) 489-7092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012322
GA
Other
Enumeration date
03/01/2007
Last updated
09/19/2024
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