Individual
MS. MARY L BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 MAPLE ST W, HAMPTON, SC 29924-3238
(803) 943-3813
(803) 943-5971
Mailing address
201 SIGMA DR STE 100, SUMMERVILLE, SC 29486-7722
(803) 943-3813
(803) 943-5971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1833
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0734
—
SC
01
—
P01173874
RR-MEDICARE
SC
Enumeration date
03/20/2006
Last updated
09/15/2025
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