Individual
MR. MICHAEL D FOWLER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ST, MA
Contact information
Practice address
198 S. MACARTHUR DRIVE, CAMILLA, GA 31730
(229) 375-4821
Mailing address
198 S. MACARTHUR DRIVE, CAMILLA, GA 31730
(229) 375-4821
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
07/16/2014
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