Doctor Name: | DR. LATANYA TERRAIN BOWMAN |
NPI Number: | 1326144775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | DC0000002116 |
Business Practice Address: | Cole Chiropractic Center 8101 Walnut Run Cordova, TN - 38018 |
Business Phone Number: | 9017555515 |
Business Fax Number: | 9017555825 |
Mailing Address: | 2704 Kirkstone Dr, WINSTON SALEM |
State: | NC |
Postal Code: | 271071544 |
Phone Number: | 3364801812 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC0000002116 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |