RAPHAEL B FOWLER AGPCNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Adult Health
Provider Information
- NPI Number
1093519837- Provider Type
- Individual Provider (NPI-1)
- Credentials
- AGPCNP-C
- Status
- Active
Contact & Location
- Address
- 4958 MEMORIAL DR, STONE MOUNTAIN, GA, 300834148
- Phone
- (678) 542-9756
Specialties & Taxonomies
Nurse Practitioner, Adult Health
Primary License: GA #RN276645