; NPI #1629643416

Contact Information

ANGELA W BOWENS

41 CERICE CIR SE
MARIETTA, GA 30060-5533

Phone: 678-357-1831
Fax: 770-405-8382
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for

NPI Number 1629643416

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 05/24/2021

Last updated 05/24/2021 - About 5 years ago

Identifiers

License #

050937943

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Private Vehicle

NPI Profile & details for

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