Provider Demographics
NPI:1629137443
Name:ROWLAND, JAMES M III
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:ROWLAND
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31202-0146
Mailing Address - Country:US
Mailing Address - Phone:478-743-8765
Mailing Address - Fax:
Practice Address - Street 1:770 PINE ST
Practice Address - Street 2:SUITE 350
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2173
Practice Address - Country:US
Practice Address - Phone:478-743-8765
Practice Address - Fax:478-738-0561
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA014550207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52238021 002OtherBCBS PROVIDER #
GA000023328FMedicaid
GAD46233Medicare UPIN