Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JIMMY LEE GOWAN, M.D.
Active Sole ProprietorDR. JIMMY LEE GOWAN, M.D. is a General Practice healthcare provider located in MOORE, South Carolina. NPI 1366830648 is currently active in the NPPES registry. Verify at CMS.
General Practice · MOORE, SC
Registration Details
- NPI Number
- 1366830648
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2015 (11.572409046417 yrs)
- Last Updated
- Jan 8, 2015
- License
-
SC 4935 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
513 S SWEETWATER HILLS DRMOORE, SC, 293699550Browse SC providers · Browse ZIP 29369
- Phone
- 8644868379
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.