Individual
BRENDA K. COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 BLYTHE BLVD, STE 500, CHARLOTTE, NC 28203-5874
(704) 355-5100
(704) 342-4354
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 355-5100
(704) 342-4354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11605440
BCBS
SC
01
—
24754
BCBS
NC
05
—
8924757
—
NC
05
—
N35304
—
SC
Enumeration date
07/15/2006
Last updated
05/12/2009
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