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Lane Andrew Fowler, MD
Neurology Physician in Canton, Georgia
NPI 1699129288

Lane Andrew Fowler is a Neurology Physician based in Dayton, GA and is specialized in Neurology. Lane Andrew Fowler practices in Canton, GA and has the professional credentials of MD. The NPI Number for Lane Andrew Fowler is 1699129288 and holds a License No. (Georgia).

The current practice location address for Lane Andrew Fowler is 450 Northside Cherokee Blvd, Canton, GA and can be reached out via phone at 770-224-1000 and via fax at 770-224-2451. You can also correspond with Lane Andrew Fowler through the mailing address at 128 E APPLE ST, DAYTON, OH - 45409-2902 (mailing address contact number: 937-208-2004).

Location: 450 Northside Cherokee Blvd, Canton, GA, 45409-2902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699129288
Provider Name
Lane Andrew Fowler
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 Northside Cherokee Blvd, Canton, GA, 45409-2902
Phone Number
770-224-1000
Fax Number
770-224-2451
Provider Enumeration Date
04/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
450 Northside Cherokee Blvd
City
Canton
State
Georgia
Zip
30115-8015
Phone Number
770-224-1000
Fax Number
770-224-2451
person
Provider Business Mailing Address Details
Address
128 E Apple St
City
Dayton
State
Ohio
Zip
45409-2902
Phone Number
937-208-2004
Fax Number
937-208-8828
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
00000 (Georgia)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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