Cowan, Anna

Cowan, Anna is an individual health care provider with primary practice located at 101 Quartz Dr , Villa Rica GA 30180-3255. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cowan, Anna can be contacted via phone (770) 812-3452.

Contact Information

Primary practice address
101 Quartz Dr Villa Rica GA 30180-3255
Phone: (770) 812-3452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 006717 Georgia

Profile Details

NPI number 1417594938
LBN Legal business name Cowan, Anna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2019
Last updated Dec 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417594938 NPPES
Georgia MEDICAID 006717

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