Individual
TERESA ANNA BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
21411
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110247975
RR MEDICARE
SC
05
—
214119
—
SC
01
—
4532720
AETNA
SC
01
—
57-6007863110
BCBS OF SC
SC
01
—
57-6007863114
BLUE CHOICE OF SC
SC
01
—
6966148
CIGNA
SC
Enumeration date
05/09/2006
Last updated
07/24/2013
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