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Melissa Fowler

NPI 1538422100 · on the registry since 2012 · sole proprietor

Practice

Address
4 Musket Ct
Simpsonville, SC 29680
Phone
(864) 399-9336

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
224ZF0002X
364SH0200X
374U00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina