BOWMAN PAIN MANAGEMENT CENTER PC NPI 1417979550

NPI Information

BOWMAN PAIN MANAGEMENT CENTER, PC is a pain clinic center in Macon, GA. BOWMAN PAIN MANAGEMENT CENTER, PC NPI is 1417979550. The provider is registered as an organization entity type.
The provider Is Doing Business As Bowman Pain Management, Pc.

The provider's business location address is:

6010 LAKESIDE COMMONS DR
SUITE A
MACON, GA
ZIP 31210-779
Phone: (478) 475-9220
Fax: (478) 475-9201

The provider's authorized official is Dwayne L Clay .
The authorized official title is Chief Executive Officer and has the following contact phone number (478) 475-9220.

The CLIA number assigned to this NPI record is 11D1058993 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 9/4/2014.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.