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Individual

DR. SCOTT G BOWERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 292-0040
(706) 378-0556
Mailing address
100 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 292-0040
(706) 378-0556

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
041519
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
041519
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000702809J
GA
05
000702809M
GA
05
00702809G
GA
Enumeration date
08/04/2006
Last updated
10/15/2010
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