Brian K. Bowers

Individual provider Active NPI Case Manager/Care Coordinator · Lithonia, GA

NPI 1487951703 · NPPES record last updated Feb 23, 2011

Key facts

NPI
1487951703
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
8075 Mall Pkwy
Ste. 101-334
Lithonia, GA 30038-6993
Phone
(678) 508-1935
Fax
(770) 323-1983
NPI assigned
Feb 23, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

8075 Mall Pkwy
Ste. 101-334
Lithonia, GA 30038-6993

Mailing address

8075 Mall Pkwy
Ste. 101-334
Lithonia, GA 30038-6993
Phone (678) 508-1935

Other providers in Lithonia, GA

All providers in Lithonia, GA · Case Manager/Care Coordinator in Georgia

Sources for this page

Verify at the official NPI Registry.