Individual
JOHNNY BOWMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7104 BRANDEMERE LN APT A, WINSTON SALEM, NC 27106-6445
(336) 577-3831
Mailing address
7104 BRANDEMERE LN APT A, WINSTON SALEM, NC 27106-6445
(336) 577-3831
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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