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DIANA M FOWLER PA/AA

Nursing Yellow Pages

Macon, Georgia

Provider NPI: 1447268271

Provider Information:
 DIANA M FOWLER PA/AA


Practice Location:
380 HOSPITAL DRIVE SUITE 410 MACON, GA 31217 US
Tel: 478-746-5644  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
GA002468

Other Provider Identifiers:

IssuerNumberStateType
100001578CGA05
RAILROAD MEDICARE970026294GA01
WELLCARE336920GA01
100001578DGA05
100001578AGA05
100001578BGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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