| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TERESA FOWLER | 1497301873 | 2021-07-12 |
Teresa Fowler is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1497301873. Registration indicates Teresa Fowler is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Ophthalmic Care (Allopathic & Osteopathic Physicians, Ophthalmology) (Allopathic & Osteopathic Physicians, Ophthalmology) (Ophthalmology, ) (Vision/Audiology, ) (Ophthalmology, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Teresa Fowler MD |
| Practice Office Address | 1120 15TH ST # BA-2720 AUGUSTA, GA US |
| Practice Office Telephone | 7067211160 |
| Practice Office Fax | 7067211158 |
| Mailing Address | 1120 15TH ST # BA2720 AUGUSTA, GA 309125704 US |
| Business Telephone | 7067211160 |
| Business Fax | 7067211158 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1250 E 66th St | Savannah, GA 314045704 | 9127218146 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207W00000X PRIMARY | Access to Ophthalmic Care Allopathic & Osteopathic Physicians Ophthalmology Allopathic & Osteopathic Physicians Ophthalmology Ophthalmology Vision/Audiology Ophthalmology Allopathic & Osteopathic Physicians | 11877
GA |