Individual
MRS. MEREDITH K BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PP, BA
Contact information
Practice address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4367
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4045
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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