Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | GA028407 | GA |
NPI | 1013010669 |
---|---|
Provider Name | Dr. Appaswamy M Gowda |
First Address | Griffin, GA 30224-4121 |
Second Address | Griffin, GA 30224-4121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D29605 | (02) |