Organization
F.F. & NF., P.A.
Active
Other names
Josiah Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRADFORD BOWLES III M.D. (PRESDIDENT)
(910) 486-7777
Entity
Organization
Contact information
Practice address
6201 RAEFORD RD, FAYETTEVILLE, NC 28304-2425
(910) 486-7777
(910) 482-4358
Mailing address
6201 RAEFORD RD, FAYETTEVILLE, NC 28304-2425
(910) 487-7777
(910) 482-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NC9500517
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016UA
BLUE CROSS BLUE SHIELD
NC
01
—
2029304
UNITED HEALTH CARE
NC
Enumeration date
02/05/2007
Last updated
11/06/2014
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