Individual
MS. DEONDRA TRAFAYE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1364 CLIFTON RD, EMERGENCY DEPARTMENT, ATLANTA, GA 30322
(404) 712-7109
Mailing address
1364 CLIFTON RD, EMERGENCY DEPARTMENT, ATLANTA, GA 30322
(404) 712-7109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN186087
GA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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