Provider Demographics
NPI:1194015685
Name:STOWENS, JUSTIN CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:CHRISTOPHER
Last Name:STOWENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4136 KITTRELL FARMS DR
Mailing Address - Street 2:APT. #8
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8148
Mailing Address - Country:US
Mailing Address - Phone:336-215-6201
Mailing Address - Fax:
Practice Address - Street 1:4136 KITTRELL FARMS DR
Practice Address - Street 2:APT. #8
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-8148
Practice Address - Country:US
Practice Address - Phone:336-215-6201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD454474207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine