SearchGeorgia235Z00000X

Cherisse Fowles

NPI 1700210101 · on the registry since 2013 · sole proprietor

Practice

Address
652 Hope Hollow Ln
Loganville, GA 30052
Phone
(866) 770-7294

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-08-21

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