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Individual

ANDREW GOWDEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 484-6700
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-4282

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26523
MS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04672859
MS
Enumeration date
05/14/2014
Last updated
07/19/2019
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