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Organization

GOWDY ENTERPRISES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID PHILLIP GOWDY M.D. (PRESIDENT)
(770) 355-2064
Entity
Organization

Contact information

Practice address
2406 TIFT AVE N, SUITE 202, TIFTON, GA 31794-1886
(770) 355-2064
(229) 238-3940
Mailing address
PO BOX 1404, ALPHARETTA, GA 30009-1404
(770) 355-2064
(678) 615-2224

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34601
GA

Other

Enumeration date
12/16/2010
Last updated
12/16/2010
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