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NPI Code Detail

MEDICARE: DR. JENEE LEE BOWMAN MD

MEDICARE:  DR. JENEE LEE BOWMAN  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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician20020152NC
2207RP1001XPulmonary Disease Physician200201052NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21327KOTHERNCBLUE CROSS BLUE SHIELD
30402332OTHERNCUNITED HEALTH CARE ID
4C04447OTHERNCMEDCOST ID
51142292OTHERNCFIRST HEALTH INS. ID
62180669OTHERNCAETNA ID
78443061OTHERNCCIGNA INS. ID

General Provider Information

NPI Number : 1346241601
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENEE LEE BOWMAN MD
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number : 984-215-4110
Fax Number :
Provider Business Practice Location Address
First Line : 1041 NOELL LN
Second Line : SUITE 105
City : ROCKY MOUNT
State : NC
Zip : 27804-2058
Country : US
Telephone Number : 252-451-2700
Fax Number : 252-451-7939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 05/06/2021

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Directions to “ DR. JENEE LEE BOWMAN MD” Practice Location

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