| Terrell E Fowler Iii, DC | |
|
111 N Matthews Rd, Lake City, SC 29560-2309 | |
| (843) 374-8299 | |
| Not Available |
| Full Name | Terrell E Fowler Iii |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 111 N Matthews Rd, Lake City, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205990066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1191 (South Carolina) | Primary |
| Provider Name | Florence Community Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417702481 PECOS PAC ID: 3476090846 Enrollment ID: O20240802001252 |
| Mailing Address | Practice Location Address |
|---|---|
| Terrell E Fowler Iii, DC 111 N Matthews Rd, Lake City, SC 29560-2309 Ph: (843) 374-8299 | Terrell E Fowler Iii, DC 111 N Matthews Rd, Lake City, SC 29560-2309 Ph: (843) 374-8299 |
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