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NPI Code Detail

MEDICARE: LARRY STANLEY BOWMAN M.D.

MEDICARE: LARRY STANLEY BOWMAN M.D.
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
1207X00000XOrthopaedic Surgery Physician8208SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760441547
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY STANLEY BOWMAN M.D.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8611
Fax Number :
Provider Business Practice Location Address
First Line : 10630 CLEMSON BLVD STE 100
Second Line :
City : SENECA
State : SC
Zip : 29678-4545
Country : US
Telephone Number : 864-482-6000
Fax Number : 864-482-7000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 05/11/2021

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Directions to “ LARRY STANLEY BOWMAN M.D.” Practice Location

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