Individual
STACEY BOWLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8598
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
55533
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2016
Last updated
07/07/2021
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