Bowen, Gary Anthony Rudolph

Bowen, Gary Anthony Rudolph is an individual health care provider with primary practice located at 1014 Sycamore Dr Suite B, Decatur GA 30030-1644. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bowen, Gary Anthony Rudolph can be contacted via phone (404) 480-4229.

Contact Information

Primary practice address
1014 Sycamore Dr Suite B Decatur GA 30030-1644
Phone: (404) 480-4229
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7262 Georgia

Profile Details

NPI number 1265849343
LBN Legal business name Bowen, Gary Anthony Rudolph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2014
Last updated Jul 21st, 2014 - about 12 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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