Individual
MR. BENJAMIN ALLEN BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 797-7450
(864) 797-7460
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21466
SC
Other
Enumeration date
11/15/2017
Last updated
02/16/2018
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