Sophie M Fowler (NPI# 1962441519, PAC ID# 4688663347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1962441519 |
PAC ID by PECOS | 4688663347 |
Professional Enrollment ID | I20040507001104 |
Full Name | Sophie M Fowler |
Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
Address |
9302 Medical Plaza Dr Charleston SC 29406-9142 |
Phone Number | 8437970416 |
Gender | F |
Credential | NP |
Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6800994807 |
Number of Group Practice Members | 128 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
420079 | TRIDENT MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
9302 Medical Plaza Dr, Charleston, SC 29406-9142 | 8437970416 | AGAPE SENIOR PRIMARY CARE INC |
Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
Physicians | 133 |
Name | Specialty | Organization | Address |
---|---|---|---|
June Clark | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
Lawrence K Bennett | Family Medicine | Agape Senior Primary Care Inc | 2306 Riverbank Dr, Orangeburg, SC 29118-4046 |
Charles Busse | Family Medicine | Agape Senior Primary Care Inc | 910 M Gilead Dr, Suite B 1, Murrells Inlet, SC 29576-7792 |
Jeffrey D Hook | Internal Medicine | Agape Senior Primary Care Inc | 1614 Main St C, Columbia, SC 29201-2860 |
Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
Patrick K Ryan | Family Medicine | Agape Senior Primary Care Inc | 4600 Oleander Dr C, Myrtle Beach, SC 29577-5897 |
Erin L Miller | Nurse Practitioner | Agape Senior Primary Care Inc | 2318 Sunset Blvd, West Columbia, SC 29169-4716 |
Tara Madden | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
Crystal Mullinax | Nurse Practitioner | Agape Senior Primary Care Inc | 1053 Ctr St, West Columbia, SC 29169-6749 |
Street Address |
9302 MEDICAL PLAZA DR |
City | CHARLESTON |
State | SC |
Zip | 29406-9142 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
Find all physicians in zip 29406 |
City | CHARLESTON |
Zip Code | 29406 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CHARLESTON + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.