Individual
GWENDOLYN PATRICE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 TOMMY MEREDITH RD, MOULTRIE, GA 31768-2595
(229) 326-5159
Mailing address
221 TOMMY MEREDITH RD, MOULTRIE, GA 31768-2595
(229) 326-5159
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
25010246
GA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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