Individual
RICHARD TYLER COWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1497 FAIR RD STE 200, STATESBORO, GA 30458-0824
(912) 871-7100
(912) 871-7110
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8093
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2014
Last updated
08/20/2021
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