Individual
DR. JOHN A COWAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
962 JOE FRANK HARRIS PKWY SE, SUITE 104; CARTERSVILLE MEDICAL ARTS CENTER, CARTERSVILLE, GA 30120
(770) 386-0090
(770) 387-9126
Mailing address
962 JOE FRANK HARRIS PKWY SE, SUITE 104; CARTERSVILLE MEDICAL ARTS CENTER, CARTERSVILLE, GA 30120
(770) 386-0090
(770) 387-9126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15363
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000416061B
—
GA
Enumeration date
09/11/2006
Last updated
11/28/2012
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