Fara Moore Fowler, RNC
NPI #1174545321 in Conway, South Carolina
Provider Information
- NPI Number
- 1174545321
- Entity Type
- Individual
- Name
- Fara Moore Fowler, RNC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health, Adult
- Credential
- RNC
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 164 WACCAMAW MEDICAL PARK DR
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-8903
- Phone
- (843) 347-5060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult |
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