LEVI FOWLKES, PA

PA

Surgical Physician Assistant

NPI: 1265376180Individual

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

6466(SC)

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Contact & Hours

Address: 1120 ROBERTS BRANCH PKWY STE 200
COLUMBIA, SC 29203
Phone: (803) 296-7846

Quick Facts

NPI: 1265376180
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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