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Individual

DR. PAUL ALLEN BOWEN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
208 SCRANTON CONNECTOR, SUITE 117, BRUNSWICK, GA 31525-0559
(912) 264-5961
(912) 262-9499
Mailing address
208 SCRANTON CONNECTOR, SUITE 117, BRUNSWICK, GA 31525-0559
(912) 264-5961
(912) 262-9499

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
020965
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000264173D
GA
01
52210475
BLUE CROSS/BLUE SHIELD
GA
01
P00401185
RAILROAD MEDICARE
Enumeration date
02/16/2006
Last updated
03/04/2010
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