Individual
MRS. CRYSTAL LOOPER BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1818 ALBION ST, NASHVILLE, TN 37208-2918
(615) 327-6336
(615) 327-6214
Mailing address
1738 GREASY BRANCH RD, COLUMBIA, TN 38401-8200
(931) 652-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000001831
TN
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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