Individual
DR. JAMES LANGSTON COWAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-3842
Mailing address
900 N 7TH ST, SUITE 2, WEST MEMPHIS, AR 72301-2001
(901) 365-2555
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD21143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3125751
BC PROVIDER#
TN
05
—
3896594
—
TN
Enumeration date
10/26/2006
Last updated
05/26/2021
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