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NPI Code Detail

MEDICARE: ELIZABETH MCGOWAN

MEDICARE: ELIZABETH MCGOWAN
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
1225100000XPhysical Therapist11374TN

General Provider Information

NPI Number : 1316429194
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MCGOWAN
Provider Business Mailing Address
First Line : 1216 JOSEPH AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-5425
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 BURTON HILLS BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6156
Country : US
Telephone Number : 615-665-3748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2018
Last Update Date : 08/29/2018

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