Individual
AMANDA BROOKS BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11208 STATESVILLE RD, SUITE 300, HUNTERSVILLE, NC 28078-7635
(704) 659-9000
(704) 659-9009
Mailing address
11208 STATESVILLE RD, SUITE 300, HUNTERSVILLE, NC 28078-7635
(704) 659-9000
(704) 659-9009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102655
—
NC
Enumeration date
12/14/2011
Last updated
08/10/2015
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