Individual
DR. JIMMY LEE GOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
513 S SWEETWATER HILLS DR, MOORE, SC 29369-9550
(864) 486-8379
Mailing address
513 S SWEETWATER HILLS DR, MOORE, SC 29369-9550
(864) 486-8379
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
SC 4935
SC
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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