Individual
JOHN ROGER ROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 283-3030
Mailing address
9890 CENTRAL AVE, WAYCROSS, GA 31503-1234
(912) 387-5519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
175733
GA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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