Individual
EARMON WAYNE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(256) 301-3340
(256) 301-3443
Mailing address
1962 COUNTY ROAD 384, HILLSBORO, AL 35643-4255
(256) 301-3340
(256) 301-3443
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-040371
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-040371
STATE LICENSE
AL
01
—
41479
CRNA LICENSE
AL
Enumeration date
02/05/2007
Last updated
07/08/2007
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