Individual
MELISSA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-8008
(803) 434-3800
Mailing address
8 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-8008
(803) 434-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08847
NC
363A00000X
Physician Assistant
Primary
3197
SC
Other
Enumeration date
02/06/2019
Last updated
08/03/2026
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