# JAMES Z BOWCOCK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457792657
- **Authorized official:** DR. JAMES ZITZER BOWCOCK M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (770) 417-2764

## Contact information

- **Practice address:** 4530 S BERKELEY LAKE RD, SUITE B, NORCROSS, GA 30071-1660
- **Practice address phone:** (770) 417-2764
- **Practice address fax:** (770) 447-0811
- **Mailing address:** PO BOX 920520, NORCROSS, GA 30010-0520
- **Mailing address phone:** (770) 417-2764
- **Mailing address fax:** (770) 447-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2013
- **Last updated:** 07/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8040 | STATE LICENSE | GA |