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General NPI Number Information
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NPI Number | 1083431928
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Entity Type | Organization
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Legal Business Name | CLOW MEDICAL GROUP LLC
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1100 RUTHERFORD RD STE B
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City | GREENVILLE
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State | SC
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Zip | 29609-3945
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Country | US
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Telephone | 865-581-7480
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Fax | 864-532-4299
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Provider Business Mailing Address
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Address Line | 1100 RUTHERFORD RD STE B
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City | GREENVILLE
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State | SC
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Zip | 29609-3945
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Country | US
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Telephone | 865-581-7480
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Fax | 864-532-4299
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN DAVID CLOW
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Credential | MD
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Telephone | 864-581-7480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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