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Contact Information

AMANDA H FOWLER, MD
2500 N STATE ST
DEPT. OF MEDICINE
JACKSON, MS39216-4500
 Phone: 601-984-5601
 Fax: 601-984-6665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMANDA H FOWLER · (Female)

NPI Number 1215224886
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2011
Last updated 11/17/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 22571
  • MS Medicaid 00886302
Hospital affiliation(s)
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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