MEDICARE: MS. DANIELLE ELAINE BOWEN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	005471	GA

General Provider Information

NPI Number	:	1780874297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE ELAINE BOWEN PA-C

Provider Business Mailing Address
First Line	:	1058 BEAR CREEK BLVD
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-1849
Country	:	US
Telephone Number	:	770-707-0808
Fax Number	:	770-707-1580

Provider Business Practice Location Address
First Line	:	1058 BEAR CREEK BLVD
Second Line	:
City	:	HAMPTON
State	:	GA
Zip	:	30228-1849
Country	:	US
Telephone Number	:	770-707-0808
Fax Number	:	770-707-1580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	03/25/2020

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1568403921 — AYLO HEALTH, LLC
Practice Location Address:

1058 BEAR CREEK BLVD
HAMPTON, GA
30228-1849

Practice Phone: 770-707-0808
Practice Fax: 770-707-1580

1699927681 — KAREN RICHARDS-REYNOLDS FNP-C
Practice Location Address:

1058 BEAR CREEK BLVD
HAMPTON, GA
30228-1849

Practice Phone: 770-707-0808
Practice Fax: 770-707-1580

1982957593 — SABRINA RAE ADAMS LMT
Practice Location Address:

1062 BEAR CREEK BLVD , SUITE 100
HAMPTON, GA
30228-1849

Practice Phone: 770-946-0405
Practice Fax: 770-946-0407

1982940458 — DANIEL MILLER JR. MD
Practice Location Address:

1058 BEAR CREEK BLVD
HAMPTON, GA
30228-1849

Practice Phone: 770-707-0808
Practice Fax: 770-707-1580

1518207901 — BRANDT CURTIS ADAMS D.C.
Practice Location Address:

1062 BEAR CREEK BLVD , SUITE 100
HAMPTON, GA
30228-1849

Practice Phone: 770-946-0405
Practice Fax:

Directions to “ MS. DANIELLE ELAINE BOWEN PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.