Individual
DR. BRADLEY BOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115B HWY 556, MEADVILLE, MS 39653
(601) 384-2396
(601) 384-3648
Mailing address
PO BOX 428, MEADVILLE, MS 39653-0428
(601) 384-2396
(601) 384-3648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18292
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08602887
—
MS
Enumeration date
10/17/2006
Last updated
03/07/2023
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