Individual
DEVON TRAPNELL SOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
Mailing address
300 E MCBEE AVE STE 401, GREENVILLE, SC 29601-2899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3587
SC
363A00000X
Physician Assistant
PA6112
MA
Other
Enumeration date
04/24/2017
Last updated
10/13/2020
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