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1558950964
COLTON LAWRENCE FOWLKES
AUGUSTA, GA
NPI
1558950964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN122221)
Enumeration Date
2021-01-12
Last Update Date
2021-01-12
Business Address
COLTON LAWRENCE FOWLKES
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
COLTON LAWRENCE FOWLKES
223 LANDING DR
NORTH AUGUSTA, SC 29841-5463
Phone number:
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