Provider Demographics
NPI: | 1851432249 |
---|---|
Name: | ROWAN MEDICAL PRACTICES |
Entity Type: | Organization |
Organization Name: | ROWAN MEDICAL PRACTICES |
Other - Org Name: | IN HOUSE MEDICAL GROUP |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LINDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ALEXANDER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 704-639-0097 |
Mailing Address - Street 1: | 911 W HENDERSON ST |
Mailing Address - Street 2: | SUITE 120 |
Mailing Address - City: | SALISBURY |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28144-2736 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 704-637-1779 |
Mailing Address - Fax: | 704-637-1121 |
Practice Address - Street 1: | 911 W HENDERSON ST |
Practice Address - Street 2: | SUITE 120 |
Practice Address - City: | SALISBURY |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28144-2736 |
Practice Address - Country: | US |
Practice Address - Phone: | 704-637-1779 |
Practice Address - Fax: | 704-637-1121 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-02-09 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty |