Provider Demographics
NPI:1184121048
Name:COWAN, VICTORIA MCNEAL (DO)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:MCNEAL
Last Name:COWAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 22ND ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-3110
Mailing Address - Country:US
Mailing Address - Phone:052-801-7474
Mailing Address - Fax:205-801-7945
Practice Address - Street 1:500 22ND ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-3110
Practice Address - Country:US
Practice Address - Phone:205-801-7474
Practice Address - Fax:205-801-7945
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.2150208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist