| Bowling Family Medical Clinic | |
|
1369a George Wallace Hwy Russellville AL 35654-3281 | |
| (256) 503-3081 | |
| Not Available |
| Full Name | Bowling Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1369a George Wallace Hwy, Russellville, Alabama |
| Authorized Official Name and Position | Kevin Paul Bowling (NURSE PRACTITIONER) |
| Authorized Official Contact | 2565033081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowling Family Medical Clinic 1369a George Wallace Hwy Russellville AL 35654-3281 Ph: (256) 503-3081 | Bowling Family Medical Clinic 1369a George Wallace Hwy Russellville AL 35654-3281 Ph: (256) 503-3081 |
| NPI Number | 1750942140 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 10/30/2020 |
| Medicare PECOS PAC ID | 3173955150 |
|---|---|
| Medicare Enrollment ID | O20191112003462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750942140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Josiah C Daily |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285837377 PECOS PAC ID: 6800931056 Enrollment ID: I20100226000797 |
| Provider Name | Kevin Paul Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639609720 PECOS PAC ID: 6406113430 Enrollment ID: I20171130000154 |
| Provider Name | Callie Christiann Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366904187 PECOS PAC ID: 6507760899 Enrollment ID: I20190702002226 |
| Provider Name | Chrisy Dawn Gambrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487246393 PECOS PAC ID: 1456767201 Enrollment ID: I20210303000966 |
| Provider Name | Molly Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952008633 PECOS PAC ID: 0547626509 Enrollment ID: I20231110002417 |
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