Individual
DR. TIMOTHY WADE MCGOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 KIMEL PARK DR, WINSTON-SALEM, NC 27103-6946
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35982
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
35982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-56721
—
NC
Enumeration date
04/25/2006
Last updated
06/04/2014
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