Individual
DR. JONATHAN AUSTIN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4514 OLD MONROE RD STE C, INDIAN TRAIL, NC 28079-5308
(704) 313-4000
Mailing address
705 MAPLE ST APT F101, COLUMBIA, SC 29205-1749
(770) 713-4753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10173
SC
Other
Enumeration date
05/26/2022
Last updated
05/29/2022
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