MEDICARE: MCKOWEN & DAY MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	C453	OTHER	AL	BLUE CROSS BLUE SHIELD AL

General Provider Information

NPI Number	:	1497891741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCKOWEN & DAY MD PC

Provider Business Mailing Address
First Line	:	PO BOX 158
Second Line	:
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-1202
Country	:	US
Telephone Number	:	334-222-4191
Fax Number	:	334-222-9069

Provider Business Practice Location Address
First Line	:	125 MEDICAL PARK DR
Second Line	:	SUITE 106
City	:	ANDALUSIA
State	:	AL
Zip	:	36420-5316
Country	:	US
Telephone Number	:	334-222-4191
Fax Number	:	334-222-9069

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TIMOTHY G DAY
Credential	:	MD
Telephone Number	:	334-222-4191

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	10/20/2010

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Directions to “MCKOWEN & DAY MD PC ” Practice Location

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