Bowden, Garry Blake

Bowden, Garry Blake is an individual health care provider with primary practice located at 2300 W Park Place Blvd 122, Stone Mountain GA 30087-6713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bowden, Garry Blake can be contacted via phone (770) 469-2208.

Contact Information

Primary practice address
2300 W Park Place Blvd 122 Stone Mountain GA 30087-6713
Phone: (770) 469-2208
Fax: (770) 469-1558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 034545 Georgia

Profile Details

NPI number 1972649192
LBN Legal business name Bowden, Garry Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 18 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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