Individual
EBONY COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BROOK PINE DR, GREENSBORO, NC 27406-6866
(336) 772-6654
Mailing address
101 BROOK PINE DR, GREENSBORO, NC 27406-6866
(336) 772-6654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9929
NC
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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