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GARRY BLAKE BOWDEN M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1972649192
Individual Registrant: GARRY BLAKE BOWDEN M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2300 W PARK PLACE BLVD 122 STONE MOUNTAIN, GA 30087-6713 US
Tel: 770-469-2208 Fax: 770-469-1558
Tel: 770-469-2208 Fax: 770-469-1558
Contact information for business:
PO BOX 769609 ROSWELL, GA 30076-8224 US
Tel: 770-469-2208 Fax: 770-469-1558
Tel: 770-469-2208 Fax: 770-469-1558
Registration Information:
NPI: 1972649192
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 034545 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
