Individual
MACKENZIE LAYLA COWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009023
VA
Other
Enumeration date
04/26/2022
Last updated
02/14/2024
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