Individual
PHILLIP W NOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 AMBULANCE DR, CARROLLTON, GA 30117
(404) 759-7535
(770) 834-7100
Mailing address
115 AMBULANCE DR, CARROLLTON, GA 30117-3855
(404) 759-7535
(770) 834-7100
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036588
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000545003F
—
GA
Enumeration date
07/11/2005
Last updated
03/24/2009
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