Individual provider · Type 1 NPI
Jefferson Wayne Stowers, MD
Specialist · Marietta, GA
NPI number
1104063882
Active
Practice location
400 Mcdaniel Rd NW
Marietta, GA 30064-1830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 023114 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104063882
Jefferson Wayne Stowers, MD's National Provider Identifier is 1104063882, issued on Jan 16, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Marietta, GA. The record was last updated on Jan 16, 2009.