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1154386886
TODD A FOWLER
JOHNSON CITY, TN
NPI
1154386886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: TN 24265)
Enumeration Date
2006-04-18
Last Update Date
2019-12-16
Business Address
-- TODD A FOWLER MD
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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Mailing Address
-- TODD A FOWLER MD
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
Copy
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