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NPI Code Detail

MEDICARE: DR. PHILIP HANKS MCGOWEN M.D.

MEDICARE:  DR. PHILIP HANKS MCGOWEN  M.D.
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
1207Q00000XFamily Medicine Physician200201387NC

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 : 1750356119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP HANKS MCGOWEN M.D.
Provider Business Mailing Address
First Line : 1200 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1004
Country : US
Telephone Number : 336-832-7000
Fax Number :
Provider Business Practice Location Address
First Line : 1200 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1004
Country : US
Telephone Number : 336-832-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 10/13/2021

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Directions to “ DR. PHILIP HANKS MCGOWEN M.D.” Practice Location

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