Individual
MELISSA V BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
125 HERLONG AVE, ST MATTHEWS, SC 29135-1127
(803) 655-7310
Mailing address
142 LADY ASHLEY DR, ST MATTHEWS, SC 29135-9481
(803) 655-7984
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95644
SC
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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