Terrell E Fowler Iii, DC | |
111 N Matthews Rd, Lake City, SC 29560-2309 | |
(843) 374-8299 | |
Not Available |
Full Name | Terrell E Fowler Iii |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 111 N Matthews Rd, Lake City, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205990066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1191 (South Carolina) | Primary |
Provider Name | Florence Community Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417702481 PECOS PAC ID: 3476090846 Enrollment ID: O20240802001252 |
Mailing Address | Practice Location Address |
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Terrell E Fowler Iii, DC 111 N Matthews Rd, Lake City, SC 29560-2309 Ph: (843) 374-8299 | Terrell E Fowler Iii, DC 111 N Matthews Rd, Lake City, SC 29560-2309 Ph: (843) 374-8299 |
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