Individual
DR. JONATHAN COWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4166
Mailing address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200401192
NC
208M00000X
Hospitalist Physician
200401192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138N6
BCBS OF NORTH CAROLINA
—
05
—
89138N6
—
NC
Enumeration date
01/05/2006
Last updated
03/17/2026
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