Individual provider · NPI-1

Angela Suzanne Bowman, MD

Family Medicine · Prattville, AL

NPI number1598028524
StatusActive
Last updated in NPPESJan 12, 2023

Details

NPI
1598028524
Entity type
Individual (NPI-1)
Name
Angela Suzanne Bowman
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2012
Certification date
Jan 12, 2023
Last updated
Jan 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine43431ALYes
207Q00000X Family MedicineA138852CA

Other names

  • Angela Suzanne Rickey (Former Name)

Practice location

1595 E Main St
Prattville, AL 36066-5509

Phone 334-361-7306 · Fax 334-361-8966

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005

Phone 334-747-4159

Other practice locations

1965 Cobbs Ford Rd
Prattville, AL 36066-7290

Phone 334-361-7054

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Prattville, AL