Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Brent J Fowler, CSFA

Individual provider Surgical Assistant · NPI 1679162911

Mr. Brent J Fowler, CSFA is a Surgical Assistant in Gainesville, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

1240 Jesse Jewell Pkwy SE Ste 360
Gainesville, GA 30501-3861
Phone: (770) 534-9420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3497 Abbey Way, Gainesville, GA 30507-5045 — (770) 530-2732

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X (GA)

Record details

NPI number1679162911
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

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