Fowler, Tina M

Fowler, Tina M is an individual health care provider with primary practice located at 327 W South St , Union SC 29379-2838. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fowler, Tina M can be contacted via phone (864) 441-0802.

Contact Information

Primary practice address
327 W South St Union SC 29379-2838
Phone: (864) 441-0802
Fax: (864) 441-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN-TP 18609 South Carolina

Profile Details

NPI number 1326479296
LBN Legal business name Fowler, Tina M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2013
Last updated Sep 5th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326479296 NPPES
South Carolina MEDICAID GP8444

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