MEDICARE: DR. ROBERT S COWLES III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	027788	GA
2	208800000X	Urology Physician	027788	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	027788	OTHER	GA	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093712960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT S COWLES III M.D.

Provider Business Mailing Address
First Line	:	1000 COWLES CLINC WAY STE C-100
Second Line	:
City	:	GREENSBORO
State	:	GA
Zip	:	30642-5286
Country	:	US
Telephone Number	:	706-454-0100
Fax Number	:	706-454-0101

Provider Business Practice Location Address
First Line	:	1000 COWLES CLINC WAY
Second Line	:	CYPRESS COTTAGE SUITE C-100
City	:	GREENSBORO
State	:	GA
Zip	:	30642-5285
Country	:	US
Telephone Number	:	706-454-0100
Fax Number	:	706-454-0101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	03/07/2023

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