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Individual

DR. CLIFFORD WILLIAM BOWERS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
700 SQUIRES PT STE B, DUNCAN, SC 29334-8879
(864) 428-9959
Mailing address
380 INDIAN CREEK RD, SPARTANBURG, SC 29302-5147
(864) 310-3724

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39095
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390954
SC
01
P01771964
RAILROAD MEDICARE
SC
01
SC84706067
MEDICARE PIN
SC
01
SC84706121
MEDICARE PIN
SC
01
SC8470J577
MEDICARE PIN
SC
Enumeration date
04/05/2013
Last updated
12/02/2021
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