Individual
JOHN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6748
Mailing address
214 HANAHAN PLANTATION CIR, HANAHAN, SC 29410-8226
(843) 478-3355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99716
SC
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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