Organization
KIDS CARE MEDICAL CENTER
Active
Other names
JAMES L. COWAN, M. D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LANGSTON COWAN III MD (OWNER)
(901) 365-2555
Entity
Organization
Contact information
Practice address
6073 MT MORIAH RD EXT, SUITE 2, MEMPHIS, TN 38115-2666
(901) 365-2555
(901) 365-2544
Mailing address
6073 MT MORIAH RD EXT, SUITE 2, MEMPHIS, TN 38115-2666
(901) 365-2555
(901) 365-2544
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
21143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3896594
—
TN
Enumeration date
08/21/2014
Last updated
08/21/2014
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