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General NPI Number Information
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NPI Number | 1013888981
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Entity Type | Organization
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Legal Business Name | SUSAN L. BOWER, M.D., P.C.
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 10475 MEDLOCK BRIDGE RD STE 205
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City | JOHNS CREEK
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State | GA
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Zip | 30097-4446
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Country | US
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Telephone | 770-338-6558
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Fax | 770-232-1326
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Provider Business Mailing Address
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Address Line | 10475 MEDLOCK BRIDGE RD STE 205
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City | JOHNS CREEK
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State | GA
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Zip | 30097-4446
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Country | US
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Telephone | 770-338-6558
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Fax | 770-232-1326
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SUSAN L. BOWER
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Credential | M.D.
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Telephone | 770-338-6558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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