Individual
DR. BRENDA JO KOWALSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1715 CLEVELAND HWY, GAINESVILLE, GA 30501-1357
(404) 276-7358
Mailing address
1715 CLEVELAND HWY, GAINESVILLE, GA 30501-1357
(404) 276-7358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76085261
—
NM
05
—
88173542
—
CO
05
—
932229
—
AZ
Enumeration date
07/10/2007
Last updated
03/07/2023
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