Individual
JENNIFER FOWLKES-CALLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 LEE ST SW FL 2, ATLANTA, GA 30310-1408
(404) 752-1000
(404) 404-7561
Mailing address
720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310
(404) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024581
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000264206
—
GA
Enumeration date
07/26/2005
Last updated
07/20/2021
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