# MR. MARK T BOWEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548232473
- **Gender:** Man
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | NP084864 | GA | Yes |

## Other

- **Enumeration date:** 02/04/2006
- **Last updated:** 11/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 563072249A | — | GA |
| 05 | — | 563072249B | — | GA |
| 05 | — | 563072249G | — | GA |
| 01 | — | 582162071-028 | HUMANA/TRICARE SOUTH | — |
| 05 | — | NP1303 | — | SC |
| 01 | — | P00358208 | RAILROAD MEDICARE | GA |