# CLOW MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Black Bear Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083431928
- **Authorized official:** BRIAN DAVID CLOW MD (OWNER)
- **Authorized official phone:** (864) 581-7480

## Contact information

- **Practice address:** 1100 RUTHERFORD RD STE B, GREENVILLE, SC 29609-3945
- **Practice address phone:** (865) 581-7480
- **Practice address fax:** (864) 532-4299
- **Mailing address:** 1100 RUTHERFORD RD STE B, GREENVILLE, SC 29609-3945
- **Mailing address phone:** (865) 581-7480
- **Mailing address fax:** (864) 532-4299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 12/11/2025