Mccowan, Kevin Gary

Mccowan, Kevin Gary is an individual health care provider with primary practice located at 2675 N Decatur Rd Suite 609, Decatur GA 30033-6131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mccowan, Kevin Gary can be contacted via phone (404) 501-9170.

Contact Information

Primary practice address
2675 N Decatur Rd Suite 609 Decatur GA 30033-6131
Phone: (404) 501-9170
Fax: (404) 974-2699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 53781 Georgia

Profile Details

NPI number 1144382060
LBN Legal business name Mccowan, Kevin Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 20th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144382060 NPPES
Georgia MEDICAID 585070845B

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