Individual
JACOB STUART BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-4220
(706) 721-2076
Mailing address
101 COVENTRY CIR, NORTH AUGUSTA, SC 29860-9328
(801) 573-7771
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
13285
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
13285
GA
Other
Enumeration date
04/22/2019
Last updated
06/21/2022
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