Doctor Name: | THOMAS ANDREW BOWERS |
NPI Number: | 1447682786 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | RN178996 |
Business Practice Address: | 1181 Langford Dr Bldg 200, Suite 105 Bogart, GA - 306222542 |
Business Phone Number: | 7065489655 |
Business Fax Number: | 7065489672 |
Mailing Address: | Po Box 1227, WATKINSVILLE |
State: | GA |
Postal Code: | 306770026 |
Phone Number: | 7065489655 |
Fax Number: | 7065489672 |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN178996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |