AUDREY LANE BOWEN

COLUMBIA, SC
NPI1629369285
Former NameAUDREY LANE MORGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  4503)
Enumeration Date2011-04-29
Last Update Date2017-01-26
Business Address
-- AUDREY LANE BOWEN FNP
204 NORTH RIDGE ROD
COLUMBIA, SC 29223
Phone number: 803-606-4627
Mailing Address
-- AUDREY LANE BOWEN FNP
204 NORTH RIDGE ROD
COLUMBIA, SC 29223
Phone number: