Individual
TODD BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAC
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 532-7179
(770) 534-1312
Mailing address
PO BOX 1076, GAINESVILLE, GA 30503-1076
(770) 532-7179
(770) 534-1312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005127
GA
367H00000X
Anesthesiologist Assistant
Primary
5127
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005127
LICENSE NUMBER
GA
Enumeration date
02/18/2008
Last updated
10/21/2014
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