Diane G Bowen (NPI# 1215950431, PAC ID# 2769452879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215950431 |
| PAC ID by PECOS | 2769452879 |
| Professional Enrollment ID | I20040727001321 |
| Full Name | Diane G Bowen |
| Address |
1015 Arthur J Moore Dr St Simons Island GA 31522-2206 |
| Gender | F |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1987 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1015 Arthur J Moore Dr, St Simons Island, GA 31522-2206 |
| Street Address |
1015 ARTHUR J MOORE DR |
| City | ST SIMONS ISLAND |
| State | GA |
| Zip | 31522-2206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Greene | Family Medicine | 1015 Arthur J Moore Dr, Suite 2, St Simons Island, GA 31522-2206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip E Carlyle | Chiropractic | 50 Aviator Plz, Suite 102, St Simons Island, GA 31522-0140 | |
| James Derryl Thomas | Optometry | 3407 Frederica Rd, Saint Simons Island, GA 31522-1556 | |
| Elizabeth T Daniel | Physical Therapy | Advance Rehabilitation and Consulting Limited Partnership | 2601 A Demere Rd, St Simons Island, GA 31522-1614 |
| Holly Hollis | Nurse Practitioner | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Trent A Schueneman | Family Medicine | 2927 Demere Rd, Focus Healthcare Hospital, Saint Simons Island, GA 31522-1620 | |
| Trina Sanders | Psychiatry | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Marci M Manna | Psychiatry | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Michael James Swaney | Psychiatry | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Tenishia K Jones | Nurse Practitioner | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Maria Culpa-bondal | Certified Clinical Nurse Specialist (cns) | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Find all physicians in zip 31522 | |||
| City | ST SIMONS ISLAND |
| Zip Code | 31522 |
| Specialty | DERMATOLOGY |
| City + Specialty | ST SIMONS ISLAND + DERMATOLOGY |
Please comment or provide details below to improve the information on Diane G Bowen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.