NPI 1093308470

Jed Wyatt Bowen

Practitioner Registered Respiratory Therapist Canton, GA

Practice location

Address: 450 Northside Cherokee Blvd, Canton, GA 30115-8015
Phone: (770) 224-1000
Mailing address: PO Box 242, Tate, GA 30177-0242

Registered specialties

Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227900000X Licence 9214 (GA)

Other Respiratory Therapist, Registered providers in Georgia →

Registry record

NPI: 1093308470
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2021
Record last updated: 16 Feb 2021

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.