Organization
JAMES Z BOWCOCK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ZITZER BOWCOCK M.D. (PRESIDENT/OWNER)
(770) 417-2764
Entity
Organization
Contact information
Practice address
4530 S BERKELEY LAKE RD, SUITE B, NORCROSS, GA 30071-1660
(770) 417-2764
(770) 447-0811
Mailing address
PO BOX 920520, NORCROSS, GA 30010-0520
(770) 417-2764
(770) 447-0811
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8040
STATE LICENSE
GA
Enumeration date
07/16/2013
Last updated
07/16/2013
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