| NPI | 1053957118 |
|---|---|
| Other Name | MHMS AT REYNOLDS AMERICAN- BOWMAN |
| Entity Type | Organization |
| Authorized Contact | JOHN CAMPBELL President 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |