Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 050555 | GA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 050555 | GA |
NPI | 1336184258 |
---|---|
Provider Name | Angela M Rowden |
First Address | Savannah, GA 31419 |
Second Address | Savannah, GA 31419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 21/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00917463B | (05) | GA |
H44010 | (02) | GA |