| Bowers Family Medicine | |
|
204 N Duke St La Fayette GA 30728-2505 | |
| (706) 639-9055 | |
| Not Available |
| Full Name | Bowers Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 N Duke St, La Fayette, Georgia |
| Authorized Official Name and Position | Ralph Edward Bowers (PRESIDENT) |
| Authorized Official Contact | 7063972007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowers Family Medicine Po Box 606 La Fayette GA 30728-0606 Ph: () - | Bowers Family Medicine 204 N Duke St La Fayette GA 30728-2505 Ph: (706) 639-9055 |
| NPI Number | 1740440080 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Medicare PECOS PAC ID | 3971665803 |
|---|---|
| Medicare Enrollment ID | O20081230000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740440080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ralph E Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700820198 PECOS PAC ID: 8820059157 Enrollment ID: I20060505000432 |
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