Mowbray, John Gladden
Mowbray, John Gladden is an individual health care provider with primary practice located at 1285 Hembree Rd Suite 200-A, Roswell GA 30076-5720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Mowbray, John Gladden can be contacted via phone (770) 475-2710.Contact Information
Primary practice address
1285 Hembree Rd Suite 200-A
Roswell GA 30076-5720
Phone: (770) 475-2710
Fax: (770) 360-0498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 060542 | Georgia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 060542 | Georgia |
Profile Details
| NPI number | 1518029222 |
|---|---|
| LBN Legal business name | Mowbray, John Gladden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2006 |
| Last updated | Dec 29th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518029222 | NPPES |
| Georgia | MEDICAID | 614855765A | |
| Georgia | MEDICAID | 614855765C | |
| Georgia | MEDICAID | 614855765E |
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