Individual
MR. MARK T BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
6510 SEAWRIGHT DR STE 108, SAVANNAH, GA 31406
(912) 350-5940
(912) 350-5991
Mailing address
6510 SEAWRIGHT DR STE 108, SAVANNAH, GA 31406-2752
(912) 225-6100
(912) 235-6388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP084864
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563072249A
—
GA
05
—
563072249B
—
GA
05
—
563072249G
—
GA
01
—
582162071-028
HUMANA/TRICARE SOUTH
—
05
—
NP1303
—
SC
01
—
P00358208
RAILROAD MEDICARE
GA
Enumeration date
02/04/2006
Last updated
11/18/2025
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