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NPI Code Detail

MEDICARE: ROBERT DEAN CLOWER M.D.

MEDICARE: ROBERT DEAN CLOWER 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
1208800000XUrology Physician074662GA

General Provider Information

NPI Number : 1437243177
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DEAN CLOWER M.D.
Provider Business Mailing Address
First Line : 1150 GOLDEN WAY
Second Line :
City : WATKINSVILLE
State : GA
Zip : 30677-7712
Country : US
Telephone Number : 706-612-9401
Fax Number : 706-612-9420
Provider Business Practice Location Address
First Line : 1150 GOLDEN WAY
Second Line :
City : WATKINSVILLE
State : GA
Zip : 30677-7712
Country : US
Telephone Number : 706-612-9401
Fax Number : 706-612-9420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/09/2024

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