Individual
MRS. ALPHA FOWLER BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(770) 514-2361
(770) 514-2811
Mailing address
1650 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4010
(770) 514-2361
(770) 514-2811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00908454A
—
GA
Enumeration date
06/23/2005
Last updated
07/08/2007
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