Individual
CAROLYN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
139 E BROAD, NORMAN PARK, GA 31771-5085
(229) 769-3500
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 769-3500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170964
GA
Other
Enumeration date
07/24/2014
Last updated
11/04/2025
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