Individual provider · Type 1 NPI

Fara Moore Fowler, RNC

Adult Psychiatric/Mental Health Registered Nurse · Conway, SC

NPI number 1174545321 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Mailing address

121 Clemson Rd
Conway, SC 29526-8830

Specialties and licenses

TaxonomyCodeLicense
Adult Psychiatric/Mental Health Registered Nurse Primary 163WP0809X00026004 (SC)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1174545321

Fara Moore Fowler, RNC's National Provider Identifier is 1174545321, issued on Jul 24, 2006. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Conway, SC. The record was last updated on Jul 8, 2007.