Bowen, Genesis

Bowen, Genesis is an individual health care provider with primary practice located at 2801 N Decatur Rd Suite 190, Decatur GA 30033-5949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bowen, Genesis can be contacted via phone (404) 299-9307.

Contact Information

Primary practice address
2801 N Decatur Rd Suite 190 Decatur GA 30033-5949
Phone: (404) 299-9307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 060706 Georgia

Profile Details

NPI number 1104805050
LBN Legal business name Bowen, Genesis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 17th, 2018 - about 8 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 1104805050 NPPES
District of Columbia MEDICAID 036150500
District of Columbia MEDICAID 836252814D
District of Columbia MEDICAID 010108781
District of Columbia MEDICAID 836252814C
District of Columbia MEDICAID 406214100

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