Stewart Wilson Bowers, ATC
Individual provider Active NPI Athletic Trainer · Columbia, SC
NPI 1578093985 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1578093985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT003056 (GA)
- Practice address
- Blatt Pe Center Exercise Science 1300 Wheat St
Columbia, SC 29208-0001 - Phone
- (803) 777-0636
- NPI assigned
- Jun 18, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT003056 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT003056 | GA | Yes |
Addresses
Primary practice location
Blatt Pe Center Exercise Science 1300 Wheat St
Columbia, SC 29208-0001
Mailing address
Blatt Pe Center Exercise Science 1300 Wheat St
Columbia, SC 29208-0001
Phone (803) 777-0636
Other providers in Columbia, SC
- Gwendolyn E Bowers
- Jaiden Bowers
- Kathryn L Bowers
- Patricia Bowers
- Samantha Young Bowers
- William Barney Bowers
- Rachel Olivia Bowling
- Brooke Autumn Bowman
- Janiyah Bowman
- Richelle Bowman
All providers in Columbia, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.