Bowman, Angela Gwynn

Bowman, Angela Gwynn is an individual health care provider with primary practice located at 910 Worth St , Mount Airy NC 27030-4458. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bowman, Angela Gwynn can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
910 Worth St Mount Airy NC 27030-4458
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103346 North Carolina

Profile Details

NPI number 1801869359
LBN Legal business name Bowman, Angela Gwynn
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 29th, 2013 - about 12 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 1801869359 NPPES
North Carolina MEDICAID 8101264

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