| Josiah Medical | |
|
6201 Raeford Rd Fayetteville NC 28304-2425 | |
| (910) 486-7777 | |
| (910) 482-4358 |
| Full Name | Josiah Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 6201 Raeford Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Robert Bradford Bowles (PRESDIDENT) |
| Authorized Official Contact | 9104867777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josiah Medical 6201 Raeford Rd Fayetteville NC 28304-2425 Ph: (910) 487-7777 | Josiah Medical 6201 Raeford Rd Fayetteville NC 28304-2425 Ph: (910) 486-7777 |
| NPI Number | 1598804916 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 11/06/2014 |
| Medicare PECOS PAC ID | 9436189305 |
|---|---|
| Medicare Enrollment ID | O20050819000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598804916 | NPI | - | NPPES |
| 2029304 | Other | NC | UNITED HEALTH CARE |
| 016UA | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NC9500517 (North Carolina) | Primary |
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