Robin J. Fowler, M.D., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

052931 Issued in GA

Legal business name

ROBIN J. FOWLER, M.D., LLC

Practice address

1388 Wellbrook Circle
Suite a
Conyers, GA 30012-3872

Phone

(770) 929-9033

Fax

(770) 929-9092

NPI assigned

Aug 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robin James Fowler, M.D.

Title

Ceo

Phone

(770) 929-9033

Specialties & licenses 1

Addresses

Other names 1

• Interventional Anesthesia & Management Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1467645671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 WELLBROOK CIRCLE",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 WELLBROOK CIRCLE",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN J. FOWLER, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-929-9033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "052931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Anesthesia & Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Ro, MD
• Chyvonne Elizabeth Roach, OTR/L
• Shontell Robbins, NP-C
• Vanessa P Robbins
• Kartavis Roberts, RBT
• Alexis Robinson, RBT
• Amari Robinson
• Christa Robinson, LPC
• Falesha Robinson, LCSW
• Kathy Denise Robinson

• Specialist in Conyers, GA
• Providers in Conyers, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.