Individual
JILL L BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9033 OAKFIELD DR, STATESBORO, GA 30461-7386
(912) 587-7370
(912) 587-7370
Mailing address
9033 OAKFIELD DR, STATESBORO, GA 30461-7386
(912) 587-7370
(912) 587-7370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003750
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000723852B
—
GA
Enumeration date
06/20/2008
Last updated
06/20/2008
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