Individual
SCOTT W. BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL SUITE 1D03, FORT STEWART, GA 31314-5674
(912) 435-6022
Mailing address
1061 HARMON AVE SUITE 1D03 WINN ARMY COMMUNITY HOSPITA, APO, AA 31314-5674
(912) 435-6022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1533
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01155297
AMERIGROUP
GA
05
—
791906472
—
GA
05
—
791906472A
—
GA
05
—
791906472B
—
GA
05
—
791906472C
—
GA
05
—
791906472D
—
GA
Enumeration date
04/17/2007
Last updated
09/16/2010
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