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Jeremiah Fowler
NPI 1316220593 · on the registry since 2011 · sole proprietor
Practice
- Address
- 418 Elm St Sw
Poulan, GA 31781 - Phone
- (229) 296-7907
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia