Gregory M Fowler OD

NPI 1326215559 - Optometrist - 152W00000X

NPI Details
NPI 1326215559
Gender Male
Enumeration Date 05/16/2008
Last Updated 05/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4469 WASHINGTON RD
EVANS GA, 30809, US
Phone (706) 854-7779
Fax (706) 854-7668
Business Location
893 WINDMILL LANE
EVANS GA, 30809, US
Phone (706) 854-7779
Fax (706) 854-7668
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number OPT001422
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According to our database, Gregory M Fowler OD NPI is 1326215559, taxonomy code is 152W00000X and license number is OPT001422, license state is located at Georgia. Gregory M Fowler OD physically located at 4469 Washington Rd, Evans GA, 30809. NPI Number Gregory M Fowler OD has the Individual type.

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1326215559 NPI number is provided on an as is basis without warranty of any kind. 1326215559 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory M Fowler OD are for informational purposes only.