Provider Demographics
NPI:1508885542
Name:ROWELL, ESPERANZA A (MD)
Entity Type:Individual
Prefix:DR
First Name:ESPERANZA
Middle Name:A
Last Name:ROWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ESPERANZA
Other - Middle Name:A
Other - Last Name:ABRIGIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 72483
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30007-2483
Mailing Address - Country:US
Mailing Address - Phone:770-578-1800
Mailing Address - Fax:770-578-1800
Practice Address - Street 1:1077 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:GA
Practice Address - Zip Code:30650-2073
Practice Address - Country:US
Practice Address - Phone:770-578-1800
Practice Address - Fax:770-578-6168
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030535207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA05BDKBNMedicare ID - Type Unspecified
GAB59214Medicare UPIN