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General NPI Number Information
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NPI Number | 1992881734
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Entity Type | Organization
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Legal Business Name | NORMAN F. MCGOWIN III MD PC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 45 MEDICAL ARTS COURT, SUITE 4
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City | GREENVILLE
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State | AL
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Zip | 36037-0398
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Country | US
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Telephone | 334-382-6864
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Fax | 334-382-6929
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Provider Business Mailing Address
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Address Line | P.O. BOX 398 45 MEDICAL ARTS COURT, SUITE 4
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City | GREENVILLE
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State | AL
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Zip | 36015-0398
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Country | US
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Telephone | 334-382-6864
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Fax | 334-382-6929
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Authorized Official
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Title or Position | PRESIDENT
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Name | NORMAN F. MCGOWIN III
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Credential | M.D.
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Telephone | 334-382-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7855
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 00009886
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License Number State | AL
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