Individual
COURTNEY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 MALL DR UNIT CD, NORTH CHARLESTON, SC 29406-6514
(843) 207-4727
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P44617
SC
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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