Individual
ALEXANDRA MICHELLE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 KINGS WAY, AUGUSTA, GA 30904-4473
(404) 583-8344
Mailing address
2151 KINGS WAY, AUGUSTA, GA 30904-4473
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
84915
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2013
Last updated
05/19/2020
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