Individual
DR. ANDREW DAVID FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1547 CLIFTON RD NE, ATLANTA, GA 30322-3500
(404) 785-7141
Mailing address
1547 CLIFTON RD NE FL 2, ATLANTA, GA 30322-4008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95063
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
02/22/2024
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