Individual
BRADLEY EDWARD BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 N POINTE CT, GREENSBORO, NC 27408-3187
(336) 274-4626
Mailing address
4529 PRINCESS DR, WINSTON SALEM, NC 27127-6791
(828) 734-2446
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2015-01156
NC
Other
Enumeration date
04/27/2011
Last updated
06/22/2015
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