Individual
MARIAH GOWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 MEDICAL CENTER DR, 1000 MEDICAL CENTER DR, HARDEEVILLE, SC 29927-3446
(843) 784-8000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001013734
NC
363A00000X
Physician Assistant
Primary
5972
SC
Other
Enumeration date
10/26/2023
Last updated
12/29/2025
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