DR. DIANE GWYN BOWEN M.D. NPI 1215950431

NPI Information

NPI: 1215950431
Provider Name: DR. DIANE GWYN BOWEN, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
1015 ARTHUR J MOORE DR
SAINT SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 634-1993
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DR. Diane Gwyn Bowen, M.D. is a plastic and reconstructive surgery surgery in Saint Simons Island, GA with 37 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Diane Gwyn Bowen, M.D. NPI is 1215950431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

1015 ARTHUR J MOORE DR
SAINT SIMONS ISLAND, GA
ZIP 31522-206
Phone: (912) 634-1993
Fax: (912) 634-1166

The NPI 1215950431 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	31386	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11340888	OTHER	GEORGIA	CAQH NUMBER
2	24BCBMU	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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