Fowler, Carolyn

Fowler, Carolyn is an individual health care provider with primary practice located at 500 W 3Rd Ave , Albany GA 31701-1985. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fowler, Carolyn can be contacted via phone (229) 312-5800.

Contact Information

Primary practice address
500 W 3Rd Ave Albany GA 31701-1985
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003056 Georgia

Profile Details

NPI number 1811068612
LBN Legal business name Fowler, Carolyn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Nov 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811068612 NPPES
Georgia MEDICAID 206739413A

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