Provider Demographics
NPI:1982616215
Name:BOWER, WILLIAM ALFRED (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALFRED
Last Name:BOWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2550 PINE COVE DR
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-3400
Mailing Address - Country:US
Mailing Address - Phone:770-723-9891
Mailing Address - Fax:404-638-5478
Practice Address - Street 1:2550 PINE COVE DR
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-3400
Practice Address - Country:US
Practice Address - Phone:770-723-9891
Practice Address - Fax:404-638-5478
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA040872207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease