Individual
JOHNNIE PAUL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEARING INST SPEC
Contact information
Practice address
6308 FALLS OF NEUSE RD, STE 150, RALEIGH, NC 27615-6807
(919) 977-1732
Mailing address
6308 FALLS OF NEUSE RD, STE 150, RALEIGH, NC 27615-6807
(919) 977-1732
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1376
NC
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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