Organization
INPATIENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN COWAN D.O. (MEDICAL DIRECTOR)
(704) 660-4166
Entity
Organization
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4166
Mailing address
PO BOX 6009, ATHENS, GA 30604-6009
(704) 660-4166
(704) 660-4167
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
11/04/2011
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