Rowan Medical Practice

Organization Active NPI Family Medicine Physician · Cooleemee, NC

NPI 1295716744 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295716744
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
ROWAN MEDICAL PRACTICE
Practice address
143 Marginal St
Cooleemee, NC 27014
Phone
(336) 284-2331
Fax
(704) 284-2988
NPI assigned
Nov 10, 2005
Organization subpart
No

Authorized official

Name
Marlin Markham
Title
SVP Cfo
Phone
(704) 210-5000

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cooleemee Family Practice (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

143 Marginal St
Cooleemee, NC 27014

Mailing address

308 E Centerview St
China Grove, NC 28023-2553
Phone (704) 855-2400

Other identifiers

IdentifierTypeStateIssuer
790184QMedicaidNC

Other names

  • Cooleemee Family Practice Doing business as

Other providers in Cooleemee, NC

All providers in Cooleemee, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.