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Individual

LESLEY JILL COWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., L.L.C.

Contact information

Practice address
4061 VINEVILLE AVE, MACON, GA 31210-5039
(478) 757-7345
(478) 757-4911
Mailing address
4061 VINEVILLE AVE, MACON, GA 31210-5039
(478) 757-7345
(478) 757-4911

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036129
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00518559J
GA
Enumeration date
07/27/2006
Last updated
02/08/2024
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