Individual
MRS. MICHELLE MORTON GOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-2400
(478) 633-8825
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-2400
(478) 633-8825
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
017631
GA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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