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Individual

DR. JACK W BOWLING JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5220 OLEANDER DR, FL 2, WILMINGTON, NC 28403-7021
(910) 395-8333
(910) 395-8473
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9601239
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009601239
MECDICAL LICENSE
NC
01
129FW
BCBS
NC
05
89129FW
NC
Enumeration date
07/29/2005
Last updated
02/06/2024
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