MEDICARE: MCDOWELL MEDICAL ASSOCIATES, P.A.

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	208000000X	Pediatrics Physician	40576	NC
2	207Q00000X	Family Medicine Physician	40576	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34D0947561	OTHER	NC	CLIA #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881860179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCDOWELL MEDICAL ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	1860 SUGAR HILL RD
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-5565
Country	:	US
Telephone Number	:	828-652-8727
Fax Number	:	828-652-1301

Provider Business Practice Location Address
First Line	:	5920 US HIGHWAY 70 E
Second Line	:
City	:	NEBO
State	:	NC
Zip	:	28761-9565
Country	:	US
Telephone Number	:	828-659-9703
Fax Number	:	828-652-4642

Authorized Official
Title or Position	:	TREASURER
Name	:	DR. THOMAS T. ATKINSON SR.
Credential	:	M.D.
Telephone Number	:	828-659-9703

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	05/06/2008

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