Provider Demographics
NPI:1093897068
Name:PLOWMAN, KENT MILTON (MD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:MILTON
Last Name:PLOWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3647 FOXFIRE PL
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-8953
Mailing Address - Country:US
Mailing Address - Phone:706-228-4271
Mailing Address - Fax:706-651-6322
Practice Address - Street 1:1109 MEDICAL CENTER DR STE 8A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6635
Practice Address - Country:US
Practice Address - Phone:706-863-7021
Practice Address - Fax:706-651-6322
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA017872207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI25888Medicare UPIN
GA72BBBCGMedicare ID - Type Unspecified