Healthcare Provider Details

I. General information

NPI: 1013172816
Provider Name (Legal Business Name): MICHELLE ELIZABETH DOWNING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 05/24/2020
Certification Date: 05/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN RD, ROOM 5688 HAFS BOX 3094 DUMC
DURHAM NC
27710-0001
US

IV. Provider business mailing address

3104 BLUE LAKE DR STE 110
VESTAVIA AL
35243-2372
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-6944
  • Fax:
Mailing address:
  • Phone: 205-977-1949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number29660
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: