MEDICARE: COWAN CONSULTING, PLLC

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	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1629808951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COWAN CONSULTING, PLLC

Provider Business Mailing Address
First Line	:	3907 POMFRET LN
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-3729
Country	:	US
Telephone Number	:	704-534-2826
Fax Number	:

Provider Business Practice Location Address
First Line	:	MOBILE OFFICE
Second Line	:	223 S HERLONG AVE
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1089
Country	:	US
Telephone Number	:	704-534-2826
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL A COWAN
Credential	:	MD
Telephone Number	:	704-534-2826

Provider Enumeration Date	:	08/02/2024
Last Update Date	:	08/02/2024

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