Fowler, Amanda Horne

Fowler, Amanda Horne is an individual health care provider with primary practice located at 2500 N State St Dept. Of Medicine, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Fowler, Amanda Horne can be contacted via phone (601) 984-5601.

Contact Information

Primary practice address
2500 N State St Dept. Of Medicine Jackson MS 39216-4500
Phone: (601) 984-5601
Fax: (601) 984-6665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 22571 Mississippi

Profile Details

NPI number 1215224886
LBN Legal business name Fowler, Amanda Horne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Nov 17th, 2016 - about 9 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 1215224886 NPPES
Mississippi MEDICAID 00886302

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