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Organization
BLADEN MEDICAL ASSOCIATES
Active
Organization
BLADEN MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA L BOWEN (ADMINISTRATIVE ASSISTANT)
(910) 862-5500
Entity
Organization
Contact information
Practice address
300 E MCKAY ST, SUITE A, ELIZABETHTOWN, NC 28337-0517
(910) 862-5500
(910) 862-2107
Mailing address
PO BOX 517, ELIZABETHTOWN, NC 28337-0517
(910) 862-5500
(910) 862-2107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29651
NC
207R00000X
Internal Medicine Physician
200101455
NC
207R00000X
Internal Medicine Physician
22998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343966A
—
NC
Enumeration date
08/25/2006
Last updated
08/18/2008
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