Organization
BOWMAN FAMILY MEDICINE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINE HARDMAN BOWMAN MD (SOLE OWNER)
(318) 464-8073
Entity
Organization
Contact information
Practice address
1007 GOULD DRIVE, BUILDING 3, SUITE 4, BOSSIER CITY, LA 71111
(318) 584-7319
(318) 584-7322
Mailing address
PO BOX 52364, SHREVEPORT, LA 71135-2364
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023946
LA
Other
Enumeration date
02/01/2017
Last updated
04/05/2017
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