Individual
DR. RAYMOND PAUL FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
555 SUN VALLEY DR, SUITE G-3, ROSWELL, GA 30076-5612
(770) 641-8283
(770) 993-8034
Mailing address
555 SUN VALLEY DR, SUITE G-3, ROSWELL, GA 30076-5612
(770) 641-8283
(770) 993-8034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2110
GA
111NR0400X
Rehabilitation Chiropractor
2110
GA
111NX0800X
Orthopedic Chiropractor
2110
GA
Other
Enumeration date
12/03/2007
Last updated
10/05/2010
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