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NPI 1669668067 · live from the CMS NPI Registry

Juanita Bowens, Phd - RD

Dietitian, Registered in Columbia, SC. National Provider Identifier 1669668067, active.

NPI record

NPI1669668067 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location98 Westfern Ct, Columbia, SC 29212
Practice phone803-781-2818
EnumeratedSeptember 19, 2007
Last updatedJanuary 6, 2010
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X803863 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.