Individual
DR. WILLIE R BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Mailing address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042188
GA
207P00000X
Emergency Medicine Physician
27532
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000716702
—
GA
05
—
000716702A
—
GA
05
—
000716702B
—
GA
05
—
000716702C
—
GA
05
—
000716702E
—
GA
05
—
000716702H
—
SC
05
—
000716702I
—
GA
05
—
000716702J
—
GA
01
—
10058570
AMERIGROUP
GA
05
—
G42188
—
SC
Enumeration date
06/07/2006
Last updated
05/23/2008
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