Individual
JOHN WILLIAMS FOWLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6019 WALNUT GROVE ROAD, MEMPHIS, TN 38120
(901) 226-4065
(901) 226-5618
Mailing address
P.O. BOX 405827, ATLANTA, GA 30384-5827
(870) 934-5821
(870) 934-2384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11043
TN
Other
Enumeration date
05/19/2006
Last updated
07/01/2010
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