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Individual

DR. JOHN GLADDEN MOWBRAY

Active
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Individual

DR. JOHN GLADDEN MOWBRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
060542
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
060542
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
614855765A
GA
05
614855765C
GA
05
614855765E
GA
Enumeration date
12/16/2006
Last updated
12/29/2014
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