Individual
MRS. KRISTINA MCGIRT BOWKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 STATION ST, JACKSONVILLE, NC 28546-6304
(910) 340-3604
Mailing address
591 DEPPE RD, MAYSVILLE, NC 28555-9444
(910) 340-3604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10720
NC
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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