Provider Demographics
NPI:1770537318
Name:MOWRY, MARGARET H (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:H
Last Name:MOWRY
Suffix:
Gender:F
Credentials:MD
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 40480
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-0480
Mailing Address - Country:US
Mailing Address - Phone:251-471-7150
Mailing Address - Fax:251-471-7008
Practice Address - Street 1:2451 FILLINGIM ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2238
Practice Address - Country:US
Practice Address - Phone:251-471-7150
Practice Address - Fax:251-471-7008
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL148012085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00121612Medicaid
AL009936191Medicaid
AL51093218OtherBLUE CROSS
AL51093227OtherBLUE CROSS
AL16-11163OtherUNITED HEALTH CARE
AL009921430Medicaid
FL261561400Medicaid
LA1565296Medicaid
MS00121612Medicaid
AL510I300189Medicare PIN
AL009936191Medicaid
AL009921430Medicaid
FL261561400Medicaid