Doctor Name: | CLAUDIA BOWMAN |
NPI Number: | 1174892822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R855499 |
Business Practice Address: | 1123 Highway 35 S Forest, MS - 390748829 |
Business Phone Number: | 6014694771 |
Business Fax Number: | 6014694724 |
Mailing Address: | Po Box 1100, MAGEE |
State: | MS |
Postal Code: | 391111100 |
Phone Number: | 6018496440 |
Fax Number: | 6018491309 |
NPI Enumeration Date: | 12/27/2011 |
NPI Last Update Date: | 12/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R855499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |