MR. John B Fowler, L.D.O
NPI #1053553909 in Murrells Inlet, South Carolina
Provider Information
- NPI Number
- 1053553909
- Entity Type
- Individual
- Name
- MR. John B Fowler, L.D.O
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- L.D.O
- Enumeration Date
- Mar 24, 2009
- Last Updated
- Mar 20, 2012
Practice Location
- Address
- 12060 HWY 17 BYP
- Address 2
- UNIT B
- City
- Murrells Inlet
- State
- South Carolina
- ZIP Code
- 29576-9401
- Phone
- (843) 357-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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