MEDICARE: DR. ROSALIND EVONE BOWLES MD

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	207R00000X	Internal Medicine Physician	00023979	AL

General Provider Information

NPI Number	:	1821004680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALIND EVONE BOWLES MD

Provider Business Mailing Address
First Line	:	206 RESCIA AVE
Second Line	:
City	:	GADSDEN
State	:	AL
Zip	:	35906-5933
Country	:	US
Telephone Number	:	256-413-7154
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 RESCIA AVE
Second Line	:
City	:	GADSDEN
State	:	AL
Zip	:	35906-5933
Country	:	US
Telephone Number	:	256-413-7154
Fax Number	:

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	12/07/2007

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