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Individual

NORMAN F. MCGOWIN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
45 MEDICAL ARTS CT STE 4, GREENVILLE, AL 36037-3872
(334) 382-6864
(334) 382-6929
Mailing address
PO BOX 398, GREENVILLE, AL 36037-0398
(334) 382-6864
(334) 382-6929

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00009886
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000086762
AL
01
51086762
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/11/2006
Last updated
03/12/2009
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