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Individual

MELVA RICHARDSON BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
224 W MAIN ST STE A, HAMLET, NC 28345-3322
(910) 582-2696
(910) 582-2640
Mailing address
PO BOX 1209, HAMLET, NC 28345-1209
(910) 582-2696
(910) 582-2640

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35275
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17073
BCBS
NC
01
562244049
TRICARE
NC
01
5911090
AETNA
NC
05
8917073
NC
01
A6903
MEDCOST
NC
01
FH1000335
FIRSTCAROLINACARE
NC
Enumeration date
10/13/2006
Last updated
01/08/2014
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