Provider Demographics
NPI:1720204241
Name:MCGOWAN, CHRISTOPHER
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:MCGOWAN
Suffix:
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 1:2001 WESTIN PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513
Mailing Address - Country:US
Mailing Address - Phone:919-689-5189
Mailing Address - Fax:
Practice Address - Street 1:2001 WESTON PKWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5512
Practice Address - Country:US
Practice Address - Phone:919-689-5189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC191997207RG0100X
FLME151696207RG0100X
VA0101272979207RG0100X
TN66842207RG0100X
SC87144207RG0100X
IL036.163386207RG0100X
MDD0093137207RG0100X
AL47383207RG0100X
NJ25MA12021700207RG0100X
NY325458207RG0100X
TXU4269207RG0100X
GA86625207RG0100X
NC2010-00436207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology