Individual
COLTON VINCENT BOWSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 VETERANS PKWY S, MOULTRIE, GA 31788-9400
(229) 890-3553
Mailing address
114 LYNN DR, OGDEN, IL 61859-5801
(217) 582-2901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
07/28/2020
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