Provider Demographics
NPI:1952016255
Name:BOWMAN, PAMELA GARNER
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:GARNER
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 ROSCOE RD
Mailing Address - Street 2:
Mailing Address - City:TIMMONSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29161-8358
Mailing Address - Country:US
Mailing Address - Phone:843-610-4647
Mailing Address - Fax:
Practice Address - Street 1:107 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:SC
Practice Address - Zip Code:29532-5205
Practice Address - Country:US
Practice Address - Phone:843-409-9868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider