NPI 1104063882

Jefferson Wayne Stowers, MD

Practitioner Specialist Marietta, GA

Practice location

Address: 400 McDaniel Rd NW, Marietta, GA 30064-1830
Phone: (770) 425-8307

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 023114 (GA)

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Registry record

NPI: 1104063882
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2009
Record last updated: 16 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.