Individual
DR. GWENDOLYN E BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1301 TAYLOR ST STE 8A, COLUMBIA, SC 29201-2955
(803) 929-2955
Mailing address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
390200000X
AL
207R00000X
Internal Medicine Physician
Primary
52053
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520537
—
SC
Enumeration date
11/05/2007
Last updated
11/04/2020
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