Fowler, Jimmy Dean
Fowler, Jimmy Dean is an individual health care provider with primary practice located at 219 N Duncan Byp , Union SC 29379-2667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fowler, Jimmy Dean can be contacted via phone (864) 429-5404.Contact Information
Primary practice address
219 N Duncan Byp
Union SC 29379-2667
Phone: (864) 429-5404
Fax: (864) 429-5402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 16124 | South Carolina |
Profile Details
| NPI number | 1871572495 |
|---|---|
| LBN Legal business name | Fowler, Jimmy Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871572495 | NPPES |
| South Carolina | MEDICAID | 161247 |
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