| Organization Name: | JOHN W BOWMAN MD LLC |
| NPI Number: | 1114358710 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN W BOWMAN (OWNER/PHYSICIAN) |
| Mailing Address: | 4810 Whitesport Cir Sw Suite 105 Huntsville |
| State: | AL US |
| Postal Code: | 358017419 |
| Phone Number: | 2564295390 |
| Fax Number: | 2564295933 |
| NPI Enumeration Date: | 12/06/2013 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10852 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |