Bowen, Mark T

Bowen, Mark T is an individual health care provider with primary practice located at 6510 Seawright Dr Ste 108 , Savannah GA 31406. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bowen, Mark T can be contacted via phone (912) 350-5940.

Contact Information

Primary practice address
6510 Seawright Dr Ste 108 Savannah GA 31406
Phone: (912) 350-5940
Fax: (912) 350-5991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN084864 Georgia

Profile Details

NPI number 1548232473
LBN Legal business name Bowen, Mark T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2006
Last updated Aug 9th, 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 1548232473 NPPES
Georgia MEDICAID 563072249G
Georgia Other 582162071-028
Georgia MEDICAID 563072249A
Georgia MEDICAID 563072249B
Georgia Other P00358208
Georgia MEDICAID NP1303

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