Provider Demographics
NPI:1003080276
Name:BOWMAN, ADRIENNE L (AUD)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:L
Last Name:BOWMAN
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 HIGHWAY 54 W
Mailing Address - Street 2:SUITE 304
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4548
Mailing Address - Country:US
Mailing Address - Phone:678-817-4390
Mailing Address - Fax:678-817-4394
Practice Address - Street 1:101 YORKTOWN DR STE 203
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1578
Practice Address - Country:US
Practice Address - Phone:770-474-7416
Practice Address - Fax:770-692-0761
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003682231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist