Fowler Family Medicine, Pllc | |
3200 Peoples Dr Ste 210 Harrisonburg VA 22801-7633 | |
(540) 217-0911 | |
(877) 758-4943 |
Full Name | Fowler Family Medicine, Pllc |
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Speciality | Family Medicine |
Location | 3200 Peoples Dr Ste 210, Harrisonburg, Virginia |
Authorized Official Name and Position | Rocky Fowler (PRESIDENT) |
Authorized Official Contact | 5402710911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fowler Family Medicine, Pllc Po Box 1307 Harrisonburg VA 22803-1307 Ph: (540) 217-0911 | Fowler Family Medicine, Pllc 3200 Peoples Dr Ste 210 Harrisonburg VA 22801-7633 Ph: (540) 217-0911 |
NPI Number | 1689344665 |
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Provider Enumeration Date | 09/20/2021 |
Last Update Date | 02/09/2022 |
Medicare PECOS PAC ID | 3375937220 |
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Medicare Enrollment ID | O20220218001650 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689344665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rocky W Fowler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952568156 PECOS PAC ID: 1254502255 Enrollment ID: I20140319000874 |
Provider Name | Tolvert E Fowler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881805307 PECOS PAC ID: 7113197815 Enrollment ID: I20160517002252 |
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