MEDICARE: ABBIE BOWMAN

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	207V00000X	Obstetrics & Gynecology Physician	MDLL96974	SC

General Provider Information

NPI Number	:	1932030400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBIE BOWMAN

Provider Business Mailing Address
First Line	:	169 ASHLEY AVENUE
Second Line	:	ROOM 202 MAIN HOSPITAL MSC333
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	843-792-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 ASHLEY AVENUE
Second Line	:	ROOM 202 MAIN HOSPITAL MSC333
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	843-792-4500
Fax Number	:

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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