Provider Demographics
NPI:1083604284
Name:BOWLES, CLAIRE WOODRUFF (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:WOODRUFF
Last Name:BOWLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-973-2106
Mailing Address - Fax:704-973-2395
Practice Address - Street 1:150 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1218
Practice Address - Country:US
Practice Address - Phone:704-973-2106
Practice Address - Fax:704-973-2395
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200100643207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891293UMedicaid
NC2293372AMedicare ID - Type Unspecified
NC891293UMedicaid