Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jed Wyatt Bowen

Individual provider Registered Respiratory Therapist · NPI 1093308470

Jed Wyatt Bowen is a Registered Respiratory Therapist in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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Practice location Address checks out

450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone: (770) 224-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Respiratory Therapist (primary) Taxonomy 227900000X · Licence 9214 (GA)

Record details

NPI number1093308470
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 16, 2021
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021
Mailing addressPo Box 242, Tate, GA 30177-0242

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