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Mr. Grady Bowens
Optician in Charlotte, North Carolina
NPI 1912190372

Grady Bowens is a Optician based in Charlotte, NC and is specialized in Optician. Grady Bowens practices in Charlotte, NC. The NPI Number for Grady Bowens is 1912190372 and holds a License No. 1336 (North Carolina).

The current practice location address for Grady Bowens is 3211 Eastway Dr Ste 13, Charlotte, NC and can be reached out via phone at 704-568-6760 and via fax at 704-568-7059.

Location: 3211 Eastway Dr Ste 13, Charlotte, NC, 28205-6679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912190372
Provider Name
Grady Bowens
Credential
Provider Entity Type
Individual
Gender
Male
Address
3211 Eastway Dr Ste 13, Charlotte, NC, 28205-6679
Phone Number
704-568-6760
Fax Number
704-568-7059
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8802016 05 NC
institution
Provider Business Practice Location Address Details
Address
3211 Eastway Dr Ste 13
City
Charlotte
State
North Carolina
Zip
28205-6679
Phone Number
704-568-6760
Fax Number
704-568-7059
person
Provider Business Mailing Address Details
Address
3211 Eastway Dr Ste 13
City
Charlotte
State
North Carolina
Zip
28205-6679
Phone Number
704-568-6760
Fax Number
704-568-7059
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
1336 (North Carolina)
Definition
Definition to come...
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