Individual
TEAH BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN SANE
Contact information
Practice address
3215 SHRINE RD, BRUNSWICK, GA 31520-4387
(912) 242-1017
Mailing address
213 AIDAN CT, SAINT MARYS, GA 31558-3776
(912) 464-0195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN131144
GA
163W00000X
Registered Nurse
Primary
RN161144
GA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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