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NPI Code Detail

MEDICARE: EDWARD BIRCH BOWER MD

MEDICARE:   EDWARD BIRCH BOWER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician21453NC

General Provider Information

NPI Number : 1073511382
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD BIRCH BOWER MD
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1423 E FRANKLIN ST
Second Line : STE B
City : MONROE
State : NC
Zip : 28112-5266
Country : US
Telephone Number : 704-290-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 07/15/2024

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Directions to “ EDWARD BIRCH BOWER MD” Practice Location

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