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Ms. Tracy Bowman, PA
Medical Physician Assistant in Wilson, North Carolina
NPI 1043228729

Tracy Bowman is a Medical Physician Assistant based in Newport News, NC and is specialized in Medical. Tracy Bowman practices in Wilson, NC and has the professional credentials of PA. The NPI Number for Tracy Bowman is 1043228729 and holds a License No. 0010-06396 (North Carolina).

The current practice location address for Tracy Bowman is 1705 Tarboro St Sw, Wilson, NC and can be reached out via phone at 252-399-8928 and via fax at 252-399-7477.

Location: 1705 Tarboro St Sw, Wilson, NC, 23612-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043228729
Provider Name
Tracy Bowman
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1705 Tarboro St Sw, Wilson, NC, 23612-2156
Phone Number
252-399-8928
Fax Number
252-399-7477
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043228729 05 NC
institution
Provider Business Practice Location Address Details
Address
1705 Tarboro St Sw
City
Wilson
State
North Carolina
Zip
27893-3428
Phone Number
252-399-8928
Fax Number
252-399-7477
person
Provider Business Mailing Address Details
Address
1705 Tarboro St Sw
City
Wilson
State
North Carolina
Zip
27893-3428
Phone Number
252-399-8928
Fax Number
252-399-7477
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0010-06396 (North Carolina)
Definition
Definition to come...
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