Individual
DR. SUSAN LYNN BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10475 MEDLOCK BRIDGE RD STE 205, JOHNS CREEK, GA 30097-4446
(770) 338-6558
(770) 232-1326
Mailing address
10475 MEDLOCK BRIDGE RD STE 205, JOHNS CREEK, GA 30097-4446
(770) 338-6558
(770) 232-1326
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
040322
GA
2084P0805X
Geriatric Psychiatry Physician
040322
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040322
MEDICAL LICENSE NUMBER
GA
Enumeration date
01/02/2007
Last updated
08/23/2022
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