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NPI Code Detail

MEDICARE: GOWDIE FAMILY CARE CENTER, LLC

MEDICARE: GOWDIE FAMILY CARE CENTER, LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1922993500
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOWDIE FAMILY CARE CENTER, LLC
Provider Business Mailing Address
First Line : 1500 OGLETHORPE AVE STE 3500
Second Line :
City : ATHENS
State : GA
Zip : 30606-2191
Country : US
Telephone Number : 706-410-2684
Fax Number : 706-413-1746
Provider Business Practice Location Address
First Line : 1500 OGLETHORPE AVE STE 3500
Second Line :
City : ATHENS
State : GA
Zip : 30606-2191
Country : US
Telephone Number : 706-410-2684
Fax Number : 706-413-1746
Authorized Official
Title or Position : CEO
Name : STALINA GOWDIE
Credential : MD
Telephone Number : 706-410-2684
Provider Enumeration Date : 06/12/2025
Last Update Date : 06/12/2025

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Directions to “GOWDIE FAMILY CARE CENTER, LLC ” Practice Location

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