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Organization

FOWLER CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRELL E FOWLER III D.C (DOCTOR)
(843) 374-8299
Entity
Organization

Contact information

Practice address
111 N MATTHEWS RD, LAKE CITY, SC 29560-2309
(843) 374-8299
(843) 374-2195
Mailing address
111 N MATTHEWS RD, LAKE CITY, SC 29560-2309
(843) 374-8299
(843) 374-2195

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1191
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH1191
SC
Enumeration date
02/16/2012
Last updated
02/16/2012
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