Healthcare Provider Details

I. General information

NPI: 1245417666
Provider Name (Legal Business Name): DON ORIAN ROWE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 09/30/2022
Certification Date: 09/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 TREE LN STE 190
SNELLVILLE GA
30078-6766
US

IV. Provider business mailing address

1468 MONTREAL RD
TUCKER GA
30084-6901
US

V. Phone/Fax

Practice location:
  • Phone: 770-736-6300
  • Fax:
Mailing address:
  • Phone: 770-638-1400
  • Fax: 770-407-8821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number059185
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: