Individual
ELIZABETH BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 HIGDON LN, OLD FORT, TN 37362-7478
(423) 715-8908
Mailing address
138 HIGDON LN, OLD FORT, TN 37362-7478
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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