Individual
MS. MOLLY ELIZABETH MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2731 MLK JR. BLVD., TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 752-1517
Mailing address
2731 MLK JR. BLVD, TUSCALOOSA, AL 35401-5235
(205) 349-3250
(205) 752-1517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-05530
AL
363LF0000X
Family Nurse Practitioner
Primary
1-105530
AL
Other
Enumeration date
09/17/2013
Last updated
08/24/2016
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