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Individual

MICHAEL C BOWMAN JR.

Active
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Individual

MICHAEL C BOWMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136618
TN
363LF0000X
Family Nurse Practitioner
Primary
14796
TN

Other

Enumeration date
03/05/2010
Last updated
03/25/2010
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