Bryan, Alpha Fowler

Bryan, Alpha Fowler is an individual health care provider with primary practice located at 1650 County Services Pkwy Sw , Marietta GA 30008-4010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bryan, Alpha Fowler can be contacted via phone (770) 514-2361.

Contact Information

Primary practice address
1650 County Services Pkwy Sw Marietta GA 30008-4010
Phone: (770) 514-2361
Fax: (770) 514-2811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35733 Georgia

Profile Details

NPI number 1518963511
LBN Legal business name Bryan, Alpha Fowler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518963511 NPPES
Georgia MEDICAID 00908454A

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