Individual
WILLIAM SCOTT ROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
110 PROFESSIONAL CT, JESUP, GA 31545-0044
(912) 427-0800
(912) 427-6029
Mailing address
110 PROFESSIONAL CT, PO BOX 1334, JESUP, GA 31545-0044
(912) 427-0800
(912) 427-6029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
003214
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374921C
—
GA
01
—
100002585A
MEDICAID PEACHSTATE
GA
Enumeration date
09/27/2006
Last updated
11/21/2011
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