Madison Kae Sowerwine, PA

NPI #1750044772 in Leesburg, Georgia

Provider Information

NPI Number: 1750044772
Entity Type: Individual
Name: Madison Kae Sowerwine, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 17, 2021
Last Updated: Aug 8, 2024

Practice Location

Address: 1578 US HIGHWAY 19 S APT 2108
City: Leesburg
State: Georgia
ZIP Code: 31763-5933
Phone: (602) 881-2855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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