MEDICARE: DEANDREA TALLEY-BOWENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		SC

General Provider Information

NPI Number	:	1043146970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANDREA TALLEY-BOWENS

Provider Business Mailing Address
First Line	:	301 HAMILTON PARK CIR APT F
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29649-9442
Country	:	US
Telephone Number	:	864-438-6784
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 HAMILTON PARK CIR APT F
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29649-9442
Country	:	US
Telephone Number	:	864-438-6784
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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Directions to “ DEANDREA TALLEY-BOWENS ” Practice Location

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