Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 0101047263 | VA |
Y | 204F00000X | Transplant Surgeon | 35274 | NC |
NPI | 1831139906 |
---|---|
Provider Name | Dr. James Scarboro Bowman III |
First Address | Burlington, NC 27215-5344 |
Second Address | Burlington, NC 27215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 28/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F29983 | (02) | NC |