Individual
AJENAI MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
582 SILVERMOON DR, LOGANVILLE, GA 30052-6022
(678) 296-2219
Mailing address
582 SILVERMOON DR, LOGANVILLE, GA 30052-6022
(678) 296-2219
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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