Individual provider · Type 1 NPI
Jimmy Lee Gowan, MD
General Practice Physician · Moore, SC
NPI number
1366830648
Active
Practice location
513 S Sweetwater Hills Dr
Moore, SC 29369-9550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | SC 4935 (SC) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1366830648
Jimmy Lee Gowan, MD's National Provider Identifier is 1366830648, issued on Jan 8, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Moore, SC. The record was last updated on Jan 8, 2015.