Individual
DR. LOY D COWART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 DOCTORS ST, METTER, GA 30439-3337
(912) 685-5715
Mailing address
200 N RIVER ST, CLAXTON, GA 30417-1659
(912) 739-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037979
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000635225P
—
GA
Enumeration date
07/26/2006
Last updated
05/19/2021
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