Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 3312 | SC |
NPI | 1013108281 |
---|---|
Provider Name | Teresa Biediger Bowers |
First Address | West Columbia, SC 29169-4840 |
Second Address | West Columbia, SC 29169-4840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 17/09/2013 |