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Organization
PATIENTLY
Active
Organization
PATIENTLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BOWEN MD (OWNER)
(843) 509-1254
Entity
Organization
Contact information
Practice address
570 LONG POINT RD STE 150, MT PLEASANT, SC 29464-7931
(843) 480-2273
Mailing address
570 LONG POINT RD STE 150, MT PLEASANT, SC 29464-7931
(843) 480-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306999230
—
SC
Enumeration date
01/14/2025
Last updated
01/14/2025
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