NPI 1013626134

Shawna Yvette Bowman

Practitioner Contractor Valdosta, GA

Practice location

Address: 1742 Almond Tree Pl # B, Valdosta, GA 31602-7058
Phone: (229) 251-9305

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1013626134
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2022
Record last updated: 17 Nov 2022

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.