Individual
BRIAN CLARENCE BOWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2712 CHELWICK DR SW, MARIETTA, GA 30008-8172
(843) 819-5742
Mailing address
2070 COKER AVE, CHARLESTON, SC 29412-2172
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001903
GA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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