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1306854005
TIFFANY D BOWERMAN
ROME, GA
NPI
1306854005
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Former Name
TIFFANY D HOLLOWAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: GA 004084)
Enumeration Date
2006-08-04
Last Update Date
2010-10-15
Business Address
TIFFANY D BOWERMAN PA-C
100 THREE RIVERS DR NE
ROME, GA 30161-4999
Phone number: 706-292-0040
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Mailing Address
TIFFANY D BOWERMAN PA-C
100 THREE RIVERS DR NE
ROME, GA 30161-4999
Phone number: 706-292-0040
Copy
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