Individual
MR. BENJAMIN BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9270 N HIGHWAY 17, MC CLELLANVILLE, SC 29458-9422
(843) 887-4180
(843) 865-1431
Mailing address
9270 N HIGHWAY 17, MC CLELLANVILLE, SC 29458-9422
(843) 887-4180
(843) 865-1431
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC-0090
SC
Other
Enumeration date
03/26/2021
Last updated
04/22/2021
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