Individual
LYNDI NICOLE BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
148 CLINIC AVE, CARROLLTON, GA 30117
(770) 838-8640
(770) 838-8650
Mailing address
119 AMBULANCE DR STE 202, CARROLLTON, GA 30117-3857
(770) 838-8710
(770) 838-8563
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN177101
GA
363LP2300X
Primary Care Nurse Practitioner
RN177101
GA
Other
Enumeration date
09/06/2015
Last updated
12/19/2018
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