Gowdy, Otis

Gowdy, Otis is an individual health care provider with primary practice located at 1600 22Nd Ave Medical Towers Iii, Meridian MS 39301-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gowdy, Otis can be contacted via phone (601) 483-5322.

Contact Information

Primary practice address
1600 22Nd Ave Medical Towers Iii Meridian MS 39301-3223
Fax: (601) 581-2289
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 17024 Mississippi

Profile Details

NPI number 1992782544
LBN Legal business name Gowdy, Otis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2005
Last updated Jun 2nd, 2011 - about 14 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 1992782544 NPPES
Mississippi MEDICAID 01281539

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