Individual
MR. MARION STEPHENSON FOWLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 LOCKEWOOD DRIVE, LAKE CITY, SC 29560
(843) 373-1244
Mailing address
207 LOCKEWOOD DRIVE, LAKE CITY, SC 29560
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD11574
SC
Other
Enumeration date
01/24/2023
Last updated
03/15/2023
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