Individual
MELISSA BOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2277 MARTHA BERRY HWY NW, MOUNT BERRY, GA 30149-9707
(248) 875-3184
Mailing address
1022 TAYLOR RD, BRIGHTON, MI 48114-7615
(248) 875-3184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002810
GA
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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