Individual
GARY BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3236 HIGHWAY 278 NE STE D, COVINGTON, GA 30014-2402
(678) 371-2135
Mailing address
1128 COREY CREEK DR, MONROE, GA 30655-6281
(678) 371-2135
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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