Individual
DR. JUSTIN ALLEN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1234 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 538-1234
(336) 538-2390
Mailing address
1234 HUFFMAN MILL ROAD, BURLINGTON, NC 27215-8700
(336) 538-1234
(336) 584-6811
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
462
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908090
—
NC
Enumeration date
06/08/2006
Last updated
12/07/2021
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