Healthcare Provider Details

I. General information

NPI: 1295746659
Provider Name (Legal Business Name): ERICA LYNN BOWMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 S 17TH ST
WILMINGTON NC
28401-7407
US

IV. Provider business mailing address

2800 ASHTON DR STE 100
WILMINGTON NC
28412-2486
US

V. Phone/Fax

Practice location:
  • Phone: 910-667-3404
  • Fax: 910-815-5629
Mailing address:
  • Phone: 910-794-8892
  • Fax: 910-794-8895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number104061
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number104061
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: