Deanne Janet Fowler, PA-C
Physician Assistant in Charleston, SC. Individual provider (NPI-1).
NPI number1801149752
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1801149752
- Entity type
- Individual (NPI-1)
- Name
- Deanne Janet Fowler
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2012
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 4400 | SC | Yes |
| 363A00000X | Physician Assistant | 085.004491 | IL |
Practice location
316 Calhoun StCharleston, SC 29401-1113
Phone 843-724-2010 · Fax 843-724-2005
Mailing address
Po Box 601495Charlotte, NC 28260-1495
Phone 843-789-1620
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