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Individual

JOSIE B BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200400192
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143EA
BCBSNC
NC
05
59-04500
NC
01
N0019E
MEDICAID
SC
Enumeration date
08/09/2006
Last updated
11/28/2018
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