Individual provider · Type 1 NPI
Jake Bowling
Neuroradiology Physician · Myrtle Beach, SC
NPI number
1083174734
Active
Practice location
809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Mailing address
102 Trail Bend Ct
Cary, NC 27513-3420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Neuroradiology Physician Primary | 2085N0700X | 308958 (NY) |
Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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About NPI 1083174734
Jake Bowling's National Provider Identifier is 1083174734, issued on Mar 20, 2019. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Aug 6, 2025.