Individual
MRS. SANDRA GOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
107 HIDDEN FOREST CT, MONCKS CORNER, SC 29461-6476
(843) 709-7235
Mailing address
107 HIDDEN FOREST CT, MONCKS CORNER, SC 29461-6476
(843) 709-7235
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2758146
SC
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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