Provider Demographics
NPI:1023242625
Name:BOWERS, MELISSA DAWN (MD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:DAWN
Last Name:BOWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 ROBERT SMALLS PKWY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-3702
Mailing Address - Country:US
Mailing Address - Phone:843-521-4357
Mailing Address - Fax:843-521-4566
Practice Address - Street 1:272 ROBERT SMALLS PKWY
Practice Address - Street 2:SUITE 320
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-3702
Practice Address - Country:US
Practice Address - Phone:843-521-4357
Practice Address - Fax:843-521-4566
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD 37539207Q00000X
NC157547207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine