Individual
BRETT ASHLEY BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 MEDICAL DR STE 405, LAGRANGE, GA 30240-4145
(706) 242-5099
(706) 242-5231
Mailing address
303 MEDICAL DR STE 405, LAGRANGE, GA 30240-4145
(706) 242-5099
(706) 242-5231
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
054552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111599922A
—
GA
Enumeration date
10/12/2006
Last updated
08/18/2022
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