Gordon, Michael Cowl

Gordon, Michael Cowl is an individual health care provider with primary practice located at 1800 Water Pl Se Suite 100, Atlanta GA 30339-2061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Gordon, Michael Cowl can be contacted via phone (770) 801-0980.

Contact Information

Primary practice address
1800 Water Pl Se Suite 100 Atlanta GA 30339-2061
Phone: (770) 801-0980
Fax: (770) 801-9039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 026534 Georgia

Profile Details

NPI number 1184608077
LBN Legal business name Gordon, Michael Cowl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2005
Last updated Jun 18th, 2013 - about 12 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 1184608077 NPPES
Georgia Other 461670 BLUE CROSS BLUE SHIELD
Georgia MEDICAID 000290463A BLUE CROSS BLUE SHIELD

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