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Individual

MRS. ANGELA H SULLIVAN-BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2403 BATTLEFIELD PARKWAY, FT. OGLETHORPE, GA 30742
(706) 866-7700
(423) 476-4487
Mailing address
2717 EAST OAKLAND AVENUE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
(423) 926-2680

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6046
TN
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP000772
GA

Other

Enumeration date
08/30/2005
Last updated
01/10/2024
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