Individual
HYMAN LOUIS FOWLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
202D MCGILL AVE NW, CONCORD, NC 28025
(704) 792-2242
Mailing address
202D MCGILL AVE NW, CONCORD, NC 28025-4615
(704) 792-2242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03951
NC
Other
Enumeration date
01/21/2013
Last updated
08/29/2019
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