Individual
JAKE BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 848-4670
Mailing address
102 TRAIL BEND CT, CARY, NC 27513-3420
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
308958
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
08/06/2025
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