Individual
DR. JOHN GLADDEN MOWBRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1285 HEMBREE RD, SUITE 200-A, ROSWELL, GA 30076-5720
(770) 475-2710
(770) 360-0498
Mailing address
1285 HEMBREE RD, SUITE 200-A, ROSWELL, GA 30076-5720
(770) 475-2710
(770) 360-0498
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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