Individual
MS. DANIELLE ELAINE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1058 BEAR CREEK BLVD, HAMPTON, GA 30228-1849
(770) 707-0808
(770) 707-1580
Mailing address
1058 BEAR CREEK BLVD, HAMPTON, GA 30228-1849
(770) 707-0808
(770) 707-1580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005471
GA
Other
Enumeration date
07/31/2007
Last updated
03/25/2020
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