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Individual

MRS. MICHELE BOWDEN TURNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
2711 MIDDLEBURG DR, STE 109, COLUMBIA, SC 29204-2413
(803) 936-7530
(803) 936-7452
Mailing address
2711 MIDDLEBURG DR, STE 109, COLUMBIA, SC 29204-2413
(803) 936-7530
(803) 936-7452

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3829
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GP4644
MEDICAID GROUP NUMBER
SC
05
SA0763
SC
Enumeration date
07/31/2006
Last updated
10/07/2019
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