Individual
DR. D'WAYNE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
326 N MAIN ST, ELLIJAY, GA 30540-3397
(706) 635-7453
(706) 276-2833
Mailing address
326 N MAIN ST, ELLIJAY, GA 30540-3397
(706) 635-7453
(706) 276-2833
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9159
GA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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