NPI 1114707080

Jillian Marie Bowman, LDO

Practitioner Optician Clayton, GA

Practice location

Address: 1455 Highway 441 S, Clayton, GA 30525-7607
Phone: (706) 782-6961
Fax: (706) 782-6966

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence LDO002861 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1114707080
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2023
Record last updated: 29 Sep 2023

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.