Individual
JURGEN D COWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1930 HIGHLAND AVE STE A, AUGUSTA, GA 30904-7803
(706) 481-9105
(706) 481-9107
Mailing address
1930 HIGHLAND AVE STE A, AUGUSTA, GA 30904-7803
(706) 481-9105
(706) 481-9107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001833
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00794186A
—
GA
01
—
582367148
TAX ID
GA
Enumeration date
05/10/2007
Last updated
07/21/2022
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