Omolola Fowler
Internist Family Doctor - Adult Medicine
1126 Opal Ct
Hagerstown
, Maryland 21740-5940
Omolola Fowler
Internist Family Doctor - Adult Medicine
1126 Opal Ct
Hagerstown
, Maryland 21740-5940
(240) 420-0950
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Internist
Languages spoken
- English
Location
First Address
- Omolola Fowler
- 1126 Opal Ct
- Hagerstown, MD
- Zip : 21740-5940
- Phone : (240) 420-0950
Second Address
- Omolola Fowler
- 1126 Opal Ct
- Hagerstown, MD
- Zip : 21740-5940
- Phone : (240) 420-0950
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What type of doctor is Omolola Fowler
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | R193789 | MD |
| N | 207R00000X | Internist | R193789 | MD |
| N | 111NI0900X | Internist | R193789 | MD |
National Provider Identifier
| NPI | 1205320199 |
|---|---|
| Provider Name | Omolola Fowler |
| First Address | Hagerstown, MD 21740-5940 |
| Second Address | Hagerstown, MD 21740-5940 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2018 |
| Last Update Date | 04/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.