Healthcare Provider Details

I. General information

NPI: 1104910488
Provider Name (Legal Business Name): JOSEPH ROGERS DOWNS III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N 20TH ST STE 20B
OPELIKA AL
36801-5456
US

IV. Provider business mailing address

PO BOX 2145
OPELIKA AL
36803-2145
US

V. Phone/Fax

Practice location:
  • Phone: 334-321-3700
  • Fax: 334-887-7475
Mailing address:
  • Phone: 334-321-3700
  • Fax: 334-887-7475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9668
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20690
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number9668
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number20690
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: