Individual
JOHN JACOB BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9300 MEDICAL PLAZA DR STE B, CHARLESTON, SC 29406-9334
(843) 764-1730
Mailing address
9300 MEDICAL PLAZA DR STE B, CHARLESTON, SC 29406-9334
(843) 764-1730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2753
SC
Other
Enumeration date
05/29/2014
Last updated
07/22/2021
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