Individual
DR. MIKAELA BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2000
Mailing address
8536 PALMETTO COMMERCE PKWY STE 401, LADSON, SC 29456-6700
(843) 402-5001
(843) 724-2653
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51248
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512486
—
SC
Enumeration date
03/14/2011
Last updated
12/20/2017
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