Individual ProviderMadelyn Whitley BowmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1624 Westgate Cir Ste 100, Brentwood, TN 37027-8091(615) 221-7075(843) 645-3838PECOS EnrollmentBased on the most recent information from CMS, provider Madelyn Whitley Bowman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1992234009Provider TypeIndividualFull NameBowman, Madelyn WhitleyTitleMrs.CredentialLISWCPGenderFemaleSole ProprietorYesEnumeration Date6/12/2017Last Updated3/19/2024Contact InformationPractice LocationPractice Address1624 Westgate Cir Ste 100, Brentwood, TN 37027-8091Phone(615) 221-7075FaxUnlisted FaxMailing LocationMailing Address4211 N Okatie Hwy, Ridgeland, SC 29936Phone(843) 645-3838FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseSW15416CPSouth CarolinaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer