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Individual

MR. RICHARD SIBLEY FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
828 FLEMING ST, SUITE A, HENDERSONVILLE, NC 28791-3540
(828) 698-3489
(828) 698-3490
Mailing address
PO BOX 15294, ASHEVILLE, NC 28813-0294
(828) 665-0442
(828) 665-0412

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3471
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0783A
BC/BS
NC
Enumeration date
05/27/2006
Last updated
10/03/2012
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