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NPI Code Detail

MEDICARE: DR. SCOTT FOWLER M.D.

MEDICARE:  DR. SCOTT  FOWLER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician0101235080VA
2207V00000XObstetrics & Gynecology PhysicianMD31800TN

Other Identifiers

General Provider Information

NPI Number : 1073516886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT FOWLER M.D.
Provider Business Mailing Address
First Line : PO BOX 9
Second Line :
City : KINGSPORT
State : TN
Zip : 37662-0009
Country : US
Telephone Number : 423-857-2066
Fax Number : 423-857-2070
Provider Business Practice Location Address
First Line : 105 W STONE DR
Second Line : STE 2B
City : KINGSPORT
State : TN
Zip : 37660-3256
Country : US
Telephone Number : 423-247-7500
Fax Number : 423-245-4679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 09/12/2013

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Directions to “ DR. SCOTT FOWLER M.D.” Practice Location

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