Individual
DR. GARY FOWLER CROW SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
23454 HIGHWAY 76 E, CLINTON, SC 29325-7534
(864) 833-5793
(864) 833-1590
Mailing address
104 WILDERNESS DR, LAURENS, SC 29360-3922
(864) 682-8029
(864) 833-1590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2788
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z27882
—
SC
Enumeration date
12/14/2006
Last updated
07/08/2007
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