Individual
JONATHAN W SOWELL
Active
Individual
JONATHAN W SOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
010760
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0647640
UMWA
—
01
—
0840230
UNITED HEALTHCARE
—
01
—
100011900
PHP
—
01
—
180009849
RAILROAD MEDICARE
—
05
—
3006612
—
TN
01
—
4038553
AETNA
—
01
—
4207441
CIGNA
—
01
—
51366
BLUE CROSS BLUE SHIELD
—
01
—
TN0104
JOHN DEERE
—
Enumeration date
03/16/2006
Last updated
01/31/2019
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