# JOHNNY L. BOWMAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508036146
- **Authorized official:** MRS. SHELLY PERRIN (SECRETARY)
- **Authorized official phone:** (870) 845-3725

## Contact information

- **Practice address:** 410 N MAIN ST STE 3, NASHVILLE, AR 71852-2000
- **Practice address phone:** (870) 845-3725
- **Practice address fax:** (870) 845-3322
- **Mailing address:** 410 N MAIN ST STE 3, NASHVILLE, AR 71852-2000
- **Mailing address phone:** (870) 845-3725
- **Mailing address fax:** (870) 845-3322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 2365 | AR | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 03/11/2008