Individual
MRS. MELANIE GRACE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2922 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6528
(706) 556-2767
Mailing address
4654 CLIFDEN AVE, GROVETOWN, GA 30813-5238
(706) 339-7864
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004613
GA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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