Dr. Diane Gwyn Bowen
Plastic and Reconstructive Surgery
1015 Arthur J Moore Dr
Saint Simons Island
, Georgia 31522-2206
Dr. Diane Gwyn Bowen
Plastic and Reconstructive Surgery
1015 Arthur J Moore Dr
Saint Simons Island
, Georgia 31522-2206
(912) 634-1993
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Diane Gwyn Bowen
- 1015 Arthur J Moore Dr
- Saint Simons Island, GA
- Zip : 31522-2206
- Phone : (912) 634-1993
Second Address
- Dr. Diane Gwyn Bowen
- 1015 Arthur J Moore Dr
- Saint Simons Island, GA
- Zip : 31522-2206
- Fax : (912) 634-1166
- Phone : (912) 634-1993
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 31386 | GA |
National Provider Identifier
| NPI | 1215950431 |
|---|---|
| Provider Name | Dr. Diane Gwyn Bowen |
| First Address | Saint Simons Island, GA 31522-2206 |
| Second Address | Saint Simons Island, GA 31522-2206 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11340888 | CAQH NUMBER (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.