Individual
MR. SCOTT EDWARD BOWERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 793-2220
(304) 793-2277
Mailing address
3765 SAINT JAMES RD, GREENEVILLE, TN 37743-1743
(423) 470-1868
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2022
Last updated
07/12/2023
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