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COLBY FOWLER

>> Midwife, Certified Nurse >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1437684412

Individual Registrant:
 COLBY  FOWLER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
190 HANDLEY RD SUITE A TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: 770-997-2844

Contact information for business:
190 HANDLEY RD SUITE A TYRONE, GA 30290-2178 US
Tel: 770-997-5714  Fax: 770-997-2844

Registration Information:
NPI: 1437684412
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367A00000XPhysician Assistants & Advanced Practice Nursing Providers
Midwife, Certified Nurse
GARN252055

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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