Healthcare Provider Details

I. General information

NPI: 1922949395
Provider Name (Legal Business Name): SAVANAH FAITH FOWLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2122 MANCHESTER EXPY
COLUMBUS GA
31904-6878
US

IV. Provider business mailing address

318 PINEHAVEN ST
SEALE AL
36875-4104
US

V. Phone/Fax

Practice location:
  • Phone: 706-596-4014
  • Fax:
Mailing address:
  • Phone: 706-505-4019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: