Healthcare Provider Details

I. General information

NPI: 1518948033
Provider Name (Legal Business Name): ROWAN MEDICAL PRACTICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 WOODSON ST
SALISBURY NC
28144-3257
US

IV. Provider business mailing address

308 E CENTERVIEW ST
CHINA GROVE NC
28023-2553
US

V. Phone/Fax

Practice location:
  • Phone: 704-639-0097
  • Fax: 704-639-1389
Mailing address:
  • Phone: 704-855-2400
  • Fax: 704-857-1836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNC

VIII. Authorized Official

Name: MARLIN MARKHAM SR.
Title or Position: SVP & CFO
Credential:
Phone: 704-210-5000