Whalio Doctors

NPI 1003984915

Melanie Grace Bowen, PAC

Practitioner Medical Physician Assistant Augusta, GA

Practice location

Address
2922 Professional Pkwy, Augusta, GA 30907-6528
Phone
(706) 556-2767
Mailing address
4654 Clifden Ave, Grovetown, GA 30813-5238

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 004613 (GA)

Registry record

NPI
1003984915
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.