Organization
SLF PODIATRY, PLLC
Active
Organization
SLF PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY L. FOWLER DPM (OWNER/SOLE MEMBER)
(336) 213-3910
Entity
Organization
Contact information
Practice address
1613 ST. ANDREWS DR., MEBANE, NC 27302-7116
(336) 213-3910
Mailing address
1613 ST. ANDREWS DR., MEBANE, NC 27302-7116
(336) 213-3910
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
481
NC
Other
Enumeration date
06/06/2008
Last updated
12/24/2009
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