Individual
AMY SUSAN BINGHAM FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 KILDAIRE RD, SUITE 200, CHAPEL HILL, NC 27516-4064
(919) 967-0771
(919) 967-9207
Mailing address
301 KILDAIRE RD, SUITE 200, CHAPEL HILL, NC 27516-4064
(919) 967-0771
(919) 967-9207
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9700553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11456
BCBS OF NC
NC
05
—
8911456
—
NC
Enumeration date
11/02/2005
Last updated
06/15/2023
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