Healthcare Provider Details

I. General information

NPI: 1053981787
Provider Name (Legal Business Name): DAWSON MED URGENT CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 12/16/2021
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 DAWSON ST STE 101
WILMINGTON NC
28401-5712
US

IV. Provider business mailing address

608 DAWSON ST STE 101
WILMINGTON NC
28401-5712
US

V. Phone/Fax

Practice location:
  • Phone: 910-387-3788
  • Fax: 833-941-2261
Mailing address:
  • Phone: 910-387-3788
  • Fax: 833-941-2261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. UMAR BOWERS
Title or Position: CEO
Credential: M.D.
Phone: 910-387-3788