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Micah McGowan, PA

Physician Assistant in Wesley Chapel, NC. Individual provider (NPI-1).

NPI number1750797239
StatusActive
Last updated in NPPESDec 2, 2025

Details

NPI
1750797239
Entity type
Individual (NPI-1)
Name
Micah McGowan
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2014
Certification date
Dec 2, 2025
Last updated
Dec 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant0010-05209NCYes

Practice location

5955 Weddington Rd
Wesley Chapel, NC 28104-6296

Phone 704-285-8411

Mailing address

1043 Nancy Dr
Charlotte, NC 28211-1532

Phone 910-547-8617

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