Individual
MICHAEL A COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
223 HERLONG AVE S OFC, ROCK HILL, SC 29732-1670
(704) 534-2826
Mailing address
3907 POMFRET LN, CHARLOTTE, NC 28211-3729
(704) 534-2826
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9900805
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140006319
RAILROAD MEDICARE
—
05
—
891233T
—
NC
05
—
N00806
—
SC
Enumeration date
07/14/2005
Last updated
07/29/2024
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