Provider Demographics
NPI:1447488564
Name:CLOWER, BRENT ANTHONY (DO)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:ANTHONY
Last Name:CLOWER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:11775 POINTE PL
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4655
Mailing Address - Country:US
Mailing Address - Phone:404-500-7378
Mailing Address - Fax:404-341-9979
Practice Address - Street 1:11775 POINTE PL
Practice Address - Street 2:SUITE 103
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4655
Practice Address - Country:US
Practice Address - Phone:404-500-7378
Practice Address - Fax:404-341-9979
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2024-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA69388208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation