Individual
TERESA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
124 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 744-0155
Mailing address
1120 15TH ST # BA2720, AUGUSTA, GA 30912-5704
(706) 721-1160
(706) 721-1158
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
91782
SC
Other
Enumeration date
08/12/2019
Last updated
12/04/2025
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