Provider Demographics
NPI:1861579963
Name:SOBCZYK, ROWENA GAIL (MD)
Entity type:Individual
Prefix:DR
First Name:ROWENA
Middle Name:GAIL
Last Name:SOBCZYK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:RROWENA
Other - Middle Name:SOBCZYK
Other - Last Name:BRAUNSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2705 MABRY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-2828
Mailing Address - Country:US
Mailing Address - Phone:404-233-9563
Mailing Address - Fax:404-261-9460
Practice Address - Street 1:2705 MABRY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-2828
Practice Address - Country:US
Practice Address - Phone:404-233-9563
Practice Address - Fax:404-261-9460
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA024496207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine