| Dawson Med Pc | |
|
608 Dawson St Wilmington NC 28401-5712 | |
| (910) 387-3745 | |
| (833) 941-2261 |
| Full Name | Dawson Med Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 608 Dawson St, Wilmington, North Carolina |
| Authorized Official Name and Position | Umar Bowers (CEO) |
| Authorized Official Contact | 9103873745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawson Med Pc 608 Dawson St Ste 103 Wilmington NC 28401-5712 Ph: (910) 387-3745 | Dawson Med Pc 608 Dawson St Wilmington NC 28401-5712 Ph: (910) 387-3745 |
| NPI Number | 1487224283 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 12/16/2021 |
| Medicare PECOS PAC ID | 8921404286 |
|---|---|
| Medicare Enrollment ID | O20210913000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487224283 | NPI | - | NPPES |
| Provider Name | Shonda T Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205182359 PECOS PAC ID: 9638325020 Enrollment ID: I20120820000536 |
| Provider Name | Umar Bowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841511136 PECOS PAC ID: 5991948788 Enrollment ID: I20130827000016 |
| Provider Name | Elizabeth Sotile Delouise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699074872 PECOS PAC ID: 0446531347 Enrollment ID: I20170109002223 |
| Provider Name | Ya Huster Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720547425 PECOS PAC ID: 5395170567 Enrollment ID: I20200116000011 |
| Provider Name | Caitlin Megan Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508584582 PECOS PAC ID: 4284003898 Enrollment ID: I20221202001770 |
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