Individual
JOHN JUDSON BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-1702
(865) 274-2625
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7300
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101283065
VA
Other
Enumeration date
04/22/2021
Last updated
07/17/2024
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