Provider Demographics
NPI:1245425776
Name:BOWDEN, JAMES HARRIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HARRIS
Last Name:BOWDEN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MOUNTAIN VIEW DR SW
Mailing Address - Street 2:P.O. BOX 554
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-3665
Mailing Address - Country:US
Mailing Address - Phone:276-628-2592
Mailing Address - Fax:
Practice Address - Street 1:200 MOUNTAIN VIEW DR SW
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-3665
Practice Address - Country:US
Practice Address - Phone:276-628-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101015565207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine