Individual
STEPHEN MICHAEL COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 COOPER DR SE, ROME, GA 30161-6043
(706) 346-2174
Mailing address
505 COOPER DR SE, ROME, GA 30161-6043
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
131663
GA
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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