Elisabeth Dowlen, | |
5175 Old Clemmons School Rd, Clemmons, NC 27012 | |
(336) 718-3950 | |
(336) 766-3691 |
Full Name | Elisabeth Dowlen |
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Gender | Female |
Speciality | Pediatrics |
Location | 5175 Old Clemmons School Rd, Clemmons, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265894612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2019-00605 (North Carolina) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
---|---|
Elisabeth Dowlen, Po Box 751803, Charlotte, NC 28275-1803 Ph: () - | Elisabeth Dowlen, 5175 Old Clemmons School Rd, Clemmons, NC 27012 Ph: (336) 718-3950 |
Mark Albert Pashayan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-713-0582 Fax: 336-713-0581 | |
John Rouse Weathers, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 105 Stadium Oaks Dr, Clemmons, NC 27012 Phone: 336-766-0547 Fax: 336-766-0549 | |
Dr. Peter John Miller, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-716-2255 | |
Dr. Susan Abigail Farmer Haas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-716-2255 | |
Christopher John Warnimont, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 105 Stadium Oaks Dr, Clemmons, NC 27012 Phone: 336-766-0547 Fax: 336-766-0549 | |
Uzma Enayatulla-nasir, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2311 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-713-0582 Fax: 336-713-0581 |