Individual
TERRELL E FOWLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
111 N MATTHEWS RD, LAKE CITY, SC 29560-2309
(843) 374-8299
Mailing address
111 N MATTHEWS RD, LAKE CITY, SC 29560-2309
(843) 374-8299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1191
SC
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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