Healthcare Provider Details
I. General information
NPI: 1881860179
Provider Name (Legal Business Name): MCDOWELL MEDICAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2008
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5920 US HIGHWAY 70 E
NEBO NC
28761-9565
US
IV. Provider business mailing address
1860 SUGAR HILL RD
MARION NC
28752-5565
US
V. Phone/Fax
- Phone: 828-659-9703
- Fax: 828-652-4642
- Phone: 828-652-8727
- Fax: 828-652-1301
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 40576 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 40576 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
THOMAS
T.
ATKINSON
SR.
Title or Position: TREASURER
Credential: M.D.
Phone: 828-659-9703