Individual
JOSHUA FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 SHUGART RD, DALTON, GA 30720-2433
(706) 271-2834
Mailing address
140 KINSER DR, CHATSWORTH, GA 30705-6262
(706) 980-9069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023241
GA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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