| Doctor Name: | MRS. TONI HICKS BOWYER |
| NPI Number: | 1003847286 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 0010-00456 |
| Business Practice Address: | 98 Willow Ln Spartanburg, SC - 293071357 |
| Business Phone Number: | 8645855552 |
| Business Fax Number: | 8645970179 |
| Mailing Address: | Po Box 2405, SKYLAND |
| State: | NC |
| Postal Code: | 287762405 |
| Phone Number: | 8285752644 |
| Fax Number: | 8283502174 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 11/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0010-00456 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |