Individual
LELAND HAROLD BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 TRINITY ST, ABBEVILLE, SC 29620-2130
(864) 366-2020
(864) 366-5108
Mailing address
100 TRINITY ST, ABBEVILLE, SC 29620-2130
(864) 366-2020
(864) 366-5108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D10842
—
SC
05
—
DA9853
—
SC
Enumeration date
01/03/2008
Last updated
06/09/2008
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