Individual
DANIEL WADE GOWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-3533
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-3533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27021
SC
207P00000X
Emergency Medicine Physician
Primary
63781
GA
Other
Enumeration date
07/31/2006
Last updated
04/06/2024
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