Doctor Name: | TINA BOWLIN |
NPI Number: | 1003160458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | |
Business Practice Address: | 947 Myrtle Ct Mount Pleasant, SC - 294644526 |
Business Phone Number: | 6466216156 |
Business Fax Number: | |
Mailing Address: | 947 Myrtle Ct, MOUNT PLEASANT |
State: | SC |
Postal Code: | 294644526 |
Phone Number: | 6466216156 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2012 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |