Individual
DR. BLAKLEY ATKINS FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 ALCORN DR, SUITE 2B, CORINTH, MS 38834-9072
(662) 293-7390
Mailing address
401 ALCORN DR, SUITE 2B, CORINTH, MS 38834-9072
(662) 293-7390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21190
MS
Other
Enumeration date
06/18/2007
Last updated
05/14/2021
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