# ADOLESCENT MEDICINE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922022417
- **Authorized official:** SHARON R OWENS CPC (OFFICE MANAGER)
- **Authorized official phone:** (843) 884-1217

## Contact information

- **Practice address:** 900 BOWMAN RD, SUITE 304, MT PLEASANT, SC 29464-3203
- **Practice address phone:** (843) 884-1217
- **Practice address fax:** (843) 884-7796
- **Mailing address:** 900 BOWMAN RD, SUITE 304, MT PLEASANT, SC 29464-3203
- **Mailing address phone:** (843) 884-1217
- **Mailing address fax:** (843) 884-7796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 207QA0000X | SC | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/22/2020