DR. Jimmy Lee Gowan, M.D.

NPI #1366830648 in Moore, South Carolina

Provider Information

NPI Number: 1366830648
Entity Type: Individual
Name: DR. Jimmy Lee Gowan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jan 8, 2015
Last Updated: Jan 8, 2015

Practice Location

Address: 513 S SWEETWATER HILLS DR
City: Moore
State: South Carolina
ZIP Code: 29369-9550
Phone: (864) 486-8379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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