Individual
ISAI G BOWLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4650
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2009-01198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913434
—
NC
Enumeration date
08/21/2009
Last updated
04/02/2015
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