Individual
JEREMIAH CHRISTIAN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
Mailing address
148 WALL ST, APARTMENT 432, CAMDEN, SC 29020-7656
(843) 457-1794
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3878
SC
Other
Enumeration date
04/03/2009
Last updated
05/28/2009
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