Fowlkes-Callins, Jennifer

Fowlkes-Callins, Jennifer is an sole proprietor health care provider with primary practice located at 455 Lee St Sw Fl 2 , Atlanta GA 30310-1408. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fowlkes-Callins, Jennifer can be contacted via phone (404) 752-1000.

Contact Information

Primary practice address
455 Lee St Sw Fl 2 Atlanta GA 30310-1408
Phone: (404) 752-1000
Fax: (404) 404-7561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 024581 Georgia

Profile Details

NPI number 1619977287
LBN Legal business name Fowlkes-Callins, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Jul 20th, 2021 - about 3 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 1619977287 NPPES
Georgia MEDICAID 000264206

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