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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL D FOWLER I, ST, MA

Active Sole Proprietor

MR. MICHAEL D FOWLER I, ST, MA is a Case Management Agency healthcare provider located in CAMILLA, Georgia. NPI 1700216280 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · CAMILLA, GA

Registration Details

NPI Number
1700216280
Provider Type
Individual
Gender
Male
NPI Issued
Nov 19, 2013 (12.753716734919 yrs)
Last Updated
Jul 16, 2014
Sole Proprietor
Yes

Practice Information

Address
198 S. MACARTHUR DRIVE
CAMILLA, GA, 31730
Browse GA providers · Browse ZIP 31730
Phone
2293754821
Primary Specialty
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.