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Dr. Theodore Thomas Bowman Jr., D.C.

Chiropractor in Decatur, GA. Individual provider (NPI-1).

NPI number1508043282
StatusActive
Last updated in NPPESJan 25, 2008

Details

NPI
1508043282
Entity type
Individual (NPI-1)
Name
Dr. Theodore Thomas Bowman Jr.
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 25, 2008
Last updated
Jan 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor003002GAYes

Practice location

1376 Church St
Decatur, GA 30030-1519

Phone 404-373-0400

Mailing address

1376 Church St
Decatur, GA 30030-1519

Phone 404-373-0400

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