Individual
AMANDA H. COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
361 COMMERCIAL DR, SAVANNAH, GA 31406-3659
(912) 355-6221
Mailing address
361 COMMERCIAL DR, SAVANNAH, GA 31406-3659
(912) 355-6221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
050793
GA
207Q00000X
Family Medicine Physician
Primary
050793
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10058684
AMERIGROUP
GA
05
—
939189478D
—
GA
05
—
939189478G
—
GA
05
—
939189478L
—
GA
05
—
939189478M
—
GA
05
—
939189478N
—
GA
05
—
939189478O
—
GA
05
—
939189478P
—
GA
05
—
939189478Q
—
GA
05
—
G50793
—
SC
01
—
P01048154
RAILROAD MEDICARE
GA
01
—
P01105586
RAILROAD MEDICARE
GA
Enumeration date
06/08/2006
Last updated
02/24/2015
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