Individual
MRS. YOLANDA P BOWDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3752 PRESERVATION CIR, LILBURN, GA 30047-7063
(770) 866-1794
Mailing address
3752 PRESERVATION CIR, LILBURN, GA 30047-7063
(770) 866-1794
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT003373
GA
174400000X
Specialist
Primary
OT003773
GA
Other
Enumeration date
08/01/2007
Last updated
10/14/2020
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