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Individual

ASHLEY ANDERSON BOWKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
340 N MILLEDGE AVE STE B, ATHENS, GA 30601-3806
(706) 548-0008
(706) 369-9673
Mailing address
1355 PEACHTREE ST NE STE 1600, ATLANTA, GA 30309-3276
(678) 223-7774
(678) 223-7799

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008964
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008964
GEORGIA MEDICAL LICENSE
GA
Enumeration date
09/20/2018
Last updated
09/20/2018
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