Raphael B Fowler, AGPCNP-C
Raphael B Fowler, AGPCNP-C is a Nurse Practitioner in Stone Mountain, Georgia. Qualified in 2024, 2 years ago. Licensed in Georgia.
- Years since qualifying
- 2
- Licensed in
- GA
- In the registry since
- 2025
Practice location Address checks out
4958 Memorial DrStone Mountain, GA 30083-4148
Phone: (678) 542-9756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence RN276645 (GA) |
|---|
Record details
| NPI number | 1093519837 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGPCNP-C |
| Sole proprietor | No |
| NPI enumerated | April 2, 2025 |
| Last updated in NPPES | December 8, 2025 |
| Certification date | December 8, 2025 |
| Mailing address | 3387 Peachtree Corners Cir Apt I, Peachtree Corners, GA 30092-4351 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Stone Mountain
-
Mira Desai, AGPCNP
1825 Rockbridge Rd Ste 15B, Stone Mountain, GA 30087-3306 · (470) 444-3134
-
Adeliene G Isaac David
5329 Memorial Dr Ste A, Stone Mountain, GA 30083-3212 · (770) 359-9592
-
Dian Thornton-Sheffield, NP
770 Village Square Dr, Stone Mountain, GA 30083-3380 · (404) 298-8998