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NPI Code Detail

MEDICARE: SPECIAL CARE FOR SPECIAL KIDS INC

MEDICARE: SPECIAL CARE FOR SPECIAL KIDS INC
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
1174400000XSpecialist21756NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235276866
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIAL CARE FOR SPECIAL KIDS INC
Provider Business Mailing Address
First Line : 702 13TH ST
Second Line :
City : N WILKESBORO
State : NC
Zip : 28659-4075
Country : US
Telephone Number : 336-466-1892
Fax Number : 336-667-4515
Provider Business Practice Location Address
First Line : 702 13TH ST
Second Line :
City : N WILKESBORO
State : NC
Zip : 28659-4075
Country : US
Telephone Number : 336-466-1892
Fax Number : 336-667-4515
Authorized Official
Title or Position : PHYSICIAN
Name : DR. KAROLEN C BOWMAN
Credential : MD
Telephone Number : 336-466-1892
Provider Enumeration Date : 01/31/2007
Last Update Date : 05/31/2012

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Directions to “SPECIAL CARE FOR SPECIAL KIDS INC ” Practice Location

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