Individual
AUDREY LANE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
76 POLO RD, COLUMBIA, SC 29223-2806
(803) 699-7255
(803) 699-0848
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 699-7255
(803) 699-0848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4503
SC
Other
Enumeration date
04/29/2011
Last updated
03/10/2025
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