Provider Demographics
NPI:1851376263
Name:SOWELL, JOHN K (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:K
Last Name:SOWELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4201 BALMORAL DR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6441
Mailing Address - Country:US
Mailing Address - Phone:256-539-2741
Mailing Address - Fax:256-539-2775
Practice Address - Street 1:4201 BALMORAL DR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6441
Practice Address - Country:US
Practice Address - Phone:256-539-2741
Practice Address - Fax:256-539-2775
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2007-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL16249207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51022719OtherBCBS OF AL
F10017Medicare UPIN