Individual
MR. JOHN B FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.O
Contact information
Practice address
12060 HWY 17 BYP, UNIT B, MURRELLS INLET, SC 29576-9401
(843) 357-2020
(843) 357-2021
Mailing address
12060 HWY 17 BYP, UNIT B, MURRELLS INLET, SC 29576-9401
(843) 357-2020
(843) 357-2021
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SC713
SC
Other
Enumeration date
03/24/2009
Last updated
03/20/2012
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