Bowen, Diane Gwyn

Bowen, Diane Gwyn is an sole proprietor health care provider with primary practice located at 1015 Arthur J Moore Dr , Saint Simons Island GA 31522-2206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Bowen, Diane Gwyn can be contacted via phone (912) 634-1993.

Contact Information

Primary practice address
1015 Arthur J Moore Dr Saint Simons Island GA 31522-2206
Phone: (912) 634-1993
Fax: (912) 634-1166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 31386 Georgia

Profile Details

NPI number 1215950431
LBN Legal business name Bowen, Diane Gwyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215950431 NPPES
Georgia Other 11340888 CAQH NUMBER

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