Individual
DR. JOHN S MCCOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 E CHEVES ST, FLORENCE, SC 29506-2616
(843) 413-3100
(843) 413-3199
Mailing address
506 E CHEVES ST, P.O. BOX 1905, FLORENCE, SC 29506-2616
(843) 413-3100
(843) 413-3199
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
17932
SC
2085R0202X
Diagnostic Radiology Physician
Primary
17932
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502D
BCBS OF NC
NC
01
—
154758900
FEDERAL BLACK LUNG
SC
05
—
179327
—
SC
01
—
300101176
RAILROAD MEDICARE
SC
01
—
570525838
STANDARD TAX ID
SC
01
—
890502D
NC MEDICAID
NC
01
—
89565
MEDCOST
SC
Enumeration date
09/27/2005
Last updated
06/21/2010
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