SHANNON FOWLER

EMERALD COAST OPTOMETRY ASSOCIATES, PA

Dr SHANNON FOWLER is a male medical professional, specializing in Optometry. He graduated in 1997 from University Alabama Birmingham - School Of Optometry.

Contact

EMERALD COAST OPTOMETRY ASSOCIATES, PA

11570 PANAMA CITY BEACH PKWY
SUITE 100
PANAMA CITY BEACH
FL
324072502

Tel: 8502304433

SHANNON FOWLER Information

Npi 1598756413
Pac Id 1355458647
Professional Enrollment Id I20110211000072
Last Name FOWLER
First Name SHANNON
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduation Year 1997
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EMERALD COAST OPTOMETRY ASSOCIATES, PA
Group Practice Pac Id 1759550254
Number Of Group Practice Members 3
Line 1 Street Address 11570 PANAMA CITY BEACH PKWY
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City PANAMA CITY BEACH
State FL
Zip Code 324072502
Phone Number 8502304433
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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