| Doctor Name: | DR. DIANE GWYN BOWEN |
| NPI Number: | 1215950431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 31386 |
| Business Practice Address: | 1015 Arthur J Moore Dr Saint Simons Island, GA - 315222206 |
| Business Phone Number: | 9126341993 |
| Business Fax Number: | 9126341166 |
| Mailing Address: | 1015 Arthur J Moore Dr, SAINT SIMONS ISLAND |
| State: | GA |
| Postal Code: | 315222206 |
| Phone Number: | 9126341993 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 31386 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |