Individual
TIMOTHY JOSEPH KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 COLONIAL DR, COLUMBIA, SC 29203-6827
(803) 898-8405
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
338
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003383
—
SC
Enumeration date
07/18/2006
Last updated
03/03/2009
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