Individual
JOHN DAVID ROWE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
134 FLEETWOOD AVE E, WILLACOOCHEE, GA 31650-2730
(912) 534-5142
(912) 534-6120
Mailing address
710 N IRWIN AVE, OCILLA, GA 31774-5011
(229) 468-3800
(229) 468-9991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003941
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002799F
—
GA
Enumeration date
03/30/2007
Last updated
04/21/2016
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