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Contact Information

LISA M BOWMAN, CADC
229 S DAVIS RD
LAGRANGE, GA30241-2608
 Phone: 706-756-1491
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LISA M BOWMAN · (Female)

NPI # 1194587634
Status Active
Credentials CADC
Entity Individual
Enumeration date 01/30/2024
Last updated 01/30/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 0913
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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