Mandi C Fowler, PA-C

NPI #1891782900 in Marietta, Georgia

Provider Information

NPI Number
1891782900
Entity Type
Individual
Name
Mandi C Fowler, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 4, 2005
Last Updated
Nov 14, 2022

Practice Location

Address
677 CHURCH ST NE
State
Georgia
ZIP Code
30060-1101
Phone
(470) 793-6120

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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