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Individual
TODD BOWDEN
Active
Individual
TODD BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005127
GA
367H00000X
Anesthesiologist Assistant
Primary
5127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005127
LICENSE NUMBER
GA
Enumeration date
02/18/2008
Last updated
10/21/2014
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