Individual
MR. MICHAEL BRANDON FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 MCLURE CT, FLORENCE, SC 29505-6174
(843) 667-6710
Mailing address
1530 MCLURE CT, FLORENCE, SC 29505-6174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236885
SC
363LF0000X
Family Nurse Practitioner
Primary
26971
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2022
Last updated
01/18/2023
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