Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 50471 | GA |
N | 2080P0207X | Pediatric Hematology-Oncologist | 50471 | GA |
NPI | 1588985766 |
---|---|
Provider Name | Dr. Laura Catherine Bowman |
First Address | Atlanta, GA 30317-2624 |
Second Address | Atlanta, GA 30328-4338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 23/05/2021 |