Provider Demographics
NPI:1477962470
Name:C ELIZABETH COWARD MD PC
Entity Type:Organization
Organization Name:C ELIZABETH COWARD MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:C
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:COWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-943-5273
Mailing Address - Street 1:815 N MCKENZIE ST STE C
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-3518
Mailing Address - Country:US
Mailing Address - Phone:251-943-5273
Mailing Address - Fax:251-943-6163
Practice Address - Street 1:815 N MCKENZIE ST STE C
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-3518
Practice Address - Country:US
Practice Address - Phone:251-943-5273
Practice Address - Fax:251-943-6163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18081207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1902820111OtherINDIVIDUAL NPI