Individual provider · Type 1 NPI

Mandi C. Fowler, PA-C

Medical Physician Assistant · Marietta, GA

NPI number 1891782900 Active

Practice location

268 Lawrence St NE
Marietta, GA 30060-1617

Call (770) 421-7738 Map

Fax (470) 986-7062

Mailing address

268 Lawrence St NE Ste 100
Marietta, GA 30060-1617

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X3873 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1891782900

Mandi C. Fowler, PA-C's National Provider Identifier is 1891782900, issued on Oct 4, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Marietta, GA. The record was last updated on Sep 21, 2026.