Individual
DR. MICHAEL SHAWN BOWLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6465 N QUAIL HOLLOW RD, MEMPHIS, TN 38120-1448
(662) 349-0320
(662) 349-1389
Mailing address
2709 BIENVILLE RD, NESBIT, MS 38651-9749
(901) 834-9584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
649
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03734792
—
MS
Enumeration date
06/18/2006
Last updated
04/18/2026
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