person
Mandi C Fowler, PA-C
Medical Physician Assistant in Marietta, Georgia
NPI 1891782900

Mandi C Fowler is a Medical Physician Assistant based in Carrollton, GA and is specialized in Medical. Mandi C Fowler practices in Marietta, GA and has the professional credentials of PA-C. The NPI Number for Mandi C Fowler is 1891782900 and holds a License No. 3873 (Georgia).

The current practice location address for Mandi C Fowler is 677 Church St Ne, Marietta, GA and can be reached out via phone at 470-793-6120 and via fax at 770-999-2647. You can also correspond with Mandi C Fowler through the mailing address at 100 PROFESSIONAL PL, CARROLLTON, GA - 30117-3874 (mailing address contact number: 770-834-3351).

Location: 677 Church St Ne, Marietta, GA, 30117-3874
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Provider Profile Details
NPI Number
1891782900
Provider Name
Mandi C Fowler
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
677 Church St Ne, Marietta, GA, 30117-3874
Phone Number
470-793-6120
Fax Number
770-999-2647
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
875872035B 05 GA
875872035F 05 GA
647119263A 05 GA
875872035C 05 GA
875872035E 05 GA
875872035D 05 GA
institution
Provider Business Practice Location Address Details
Address
677 Church St Ne
City
State
Zip
30060-1101
Phone Number
470-793-6120
Fax Number
770-999-2647
person
Provider Business Mailing Address Details
Address
677 Church St Ne
City
State
Zip
30060-1101
Phone Number
470-793-6120
Fax Number
770-999-2647
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3873 (Georgia)
Definition
Definition to come...
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