Individual
MRS. HOLLY E BOWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3430 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5732
(228) 875-6658
(228) 875-0809
Mailing address
3430 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5732
(228) 875-6658
(228) 875-0809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
705
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015682
—
MS
01
—
CI2398
MEDICARE RAILROAD
—
Enumeration date
05/23/2005
Last updated
09/04/2008
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