Todd A Fowler
Family Doctor - Sports Medicine
2410 Susannah St
Johnson City
, Tennessee 37601-1748
Todd A Fowler
Family Doctor - Sports Medicine
2410 Susannah St
Johnson City
, Tennessee 37601-1748
(423) 282-0035
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Todd A Fowler
- 2410 Susannah St
- Johnson City, TN
- Zip : 37601-1748
- Fax : (423) 282-0035
- Phone : (423) 282-9011
Second Address
- Todd A Fowler
- 2410 Susannah St
- Johnson City, TN
- Zip : 37601-1748
- Fax : (423) 282-0035
- Phone : (423) 282-9011
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 24265 | TN |
National Provider Identifier
| NPI | 1154386886 |
|---|---|
| Provider Name | Todd A Fowler |
| First Address | Johnson City, TN 37601-1748 |
| Second Address | Johnson City, TN 37601-1748 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2006 |
| Last Update Date | 16/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3075096 | (05) | TN |
| F01837 | (02) |
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.