Individual
CHARLES D FOWLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 CASCADE PKWY SW, INTERNAL MEDICINE HEALTH CARE TEAM A, ATLANTA, GA 30311-3090
(404) 505-4111
(404) 505-4192
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047319
GA
Other
Enumeration date
09/07/2006
Last updated
01/07/2022
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