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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619977287 | NPPES |
| Georgia | MEDICAID | 000264206 |
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