Organization
CLEVELAND FAMILY HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET WILDER BOWEN M.D. (OWNER)
(919) 662-7600
Entity
Organization
Contact information
Practice address
22 SHIPWASH DR, GARNER, NC 27529-6861
(919) 662-7600
(919) 662-7675
Mailing address
22 SHIPWASH DR, GARNER, NC 27529-6861
(919) 662-7600
(919) 662-7675
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0032470
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17359
BCBS
NC
01
—
1858639
UHC
NC
01
—
212959F
PTAN
NC
01
—
7807067
AETNA
NC
05
—
8917359
—
NC
Enumeration date
12/21/2009
Last updated
12/21/2009
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