Organization
OPTIMUM PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN J COWANS II DPM (OWNER)
(770) 727-0614
Entity
Organization
Contact information
Practice address
5077 DALLAS HWY STE 311, POWDER SPRINGS, GA 30127-4510
(770) 727-0614
(770) 799-8453
Mailing address
5077 DALLAS HWY STE 311, POWDER SPRINGS, GA 30127-4510
(770) 727-0614
(770) 799-8453
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
04/25/2022
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