Individual
DR. JEREMY A BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
365A E BLACKSTOCK RD, SPARTANBURG, SC 29301-3762
(864) 574-4862
(864) 587-6858
Mailing address
365A E BLACKSTOCK RD, SPARTANBURG, SC 29301-3762
(864) 574-4862
(864) 587-6858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4402
SC
2255A2300X
Athletic Trainer
2556
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4402
SOUTH CAROLINA DEPT. OF LABOR, LICENSING AND REGULATION
SC
Enumeration date
04/02/2019
Last updated
12/17/2019
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