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Individual

DR. CAROL L FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2100 CLINCH AVE, STE 430, KNOXVILLE, TN 37916
(865) 546-2131
Mailing address
2100 CLINCH AVE, STE 430, KNOXVILLE, TN 37916
(865) 546-2131

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
40875
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40875
MEDICAL LICENSE
TN
Enumeration date
03/24/2006
Last updated
03/07/2023
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