Provider Demographics
NPI:1558688093
Name:MCGOWAN, CHERYL ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANNE
Last Name:MCGOWAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1400 NORTHSIDE FORSYTH DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7668
Mailing Address - Country:US
Mailing Address - Phone:770-781-8004
Mailing Address - Fax:678-679-4054
Practice Address - Street 1:1400 NORTHSIDE FORSYTH DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7668
Practice Address - Country:US
Practice Address - Phone:770-781-8004
Practice Address - Fax:678-679-4054
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2019-08-24
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Provider Licenses
StateLicense IDTaxonomies
GA70484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I089460Medicare PIN