Individual
MIA TERESE COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2807 GREYSTONE COMMERCIAL BLVD, UNIT 38, BIRMINGHAM, AL 35242-9601
(205) 995-1009
(205) 995-1049
Mailing address
2807 GREYSTONE COMMERCIAL BLVD, UNIT 38, BIRMINGHAM, AL 35242-9601
(205) 995-1009
(205) 995-1049
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27416
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831127083
—
AL
01
—
27416
MEDICAL LICENSE
AL
Enumeration date
06/28/2006
Last updated
09/29/2021
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