Organization
LESLEY JILL COWN, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY R COBB (ASSISTANT MANAGER)
(478) 954-3140
Entity
Organization
Contact information
Practice address
4061 VINEVILLE AVE, MACON, GA 31210-5039
(478) 742-8760
(478) 742-4561
Mailing address
4061 VINEVILLE AVE, MACON, GA 31210-5039
(478) 742-8760
(478) 742-4561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036129
GA
Other
Enumeration date
08/27/2013
Last updated
02/08/2024
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