Provider Demographics
NPI:1609369099
Name:ROWNER, ISAAC RICHARD (PA)
Entity Type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:RICHARD
Last Name:ROWNER
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-9437
Mailing Address - Fax:704-384-9440
Practice Address - Street 1:1918 RANDOLPH RD STE 400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1196
Practice Address - Country:US
Practice Address - Phone:704-384-9437
Practice Address - Fax:704-384-9440
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2023-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-08153363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant