MEDICARE: ROWAN MEDICAL PRACTICE 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
1	207Q00000X	Family Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1811986136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROWAN MEDICAL PRACTICE INC

Provider Business Mailing Address
First Line	:	308 E CENTERVIEW ST
Second Line	:
City	:	CHINA GROVE
State	:	NC
Zip	:	28023-2553
Country	:	US
Telephone Number	:	704-855-2400
Fax Number	:	704-857-1836

Provider Business Practice Location Address
First Line	:	308 E CENTERVIEW ST
Second Line	:
City	:	CHINA GROVE
State	:	NC
Zip	:	28023-2553
Country	:	US
Telephone Number	:	704-855-2400
Fax Number	:	704-857-1836

Authorized Official
Title or Position	:	CFO
Name	:	MARLIN MARKHAN
Credential	:
Telephone Number	:	704-210-5000

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	08/22/2020

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Directions to “ROWAN MEDICAL PRACTICE INC ” Practice Location

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