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Individual

DR. PHILLIP JEFFREY BOWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
302 MEDICAL PARK DR, SUITE 207, WALTERBORO, SC 29488-5747
(843) 782-2788
(843) 782-2797
Mailing address
302 MEDICAL PARK DR, SUITE 207, WALTERBORO, SC 29488-5747
(843) 782-2788
(843) 782-2797

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22458
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0624
SC
Enumeration date
08/25/2005
Last updated
01/23/2013
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