Provider Demographics
NPI:1114908936
Name:GOWER, VERLIA (MD)
Entity Type:Individual
Prefix:DR
First Name:VERLIA
Middle Name:
Last Name:GOWER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5455 MERIDIAN MARKS RD NE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1654
Mailing Address - Country:US
Mailing Address - Phone:404-255-2033
Mailing Address - Fax:404-252-1901
Practice Address - Street 1:5455 MERIDIAN MARKS RD NE
Practice Address - Street 2:SUITE 130
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1654
Practice Address - Country:US
Practice Address - Phone:404-255-2033
Practice Address - Fax:404-252-1901
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA038499207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00614842BMedicaid
GABG1939505OtherDEA
GABG1939505OtherDEA
GA00614842BMedicaid