Healthcare Provider Details

I. General information

NPI: 1336731629
Provider Name (Legal Business Name): DAVID DOWDY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 02/08/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 GUTHRIE DR NW STE 104
CLEVELAND TN
37311-3642
US

IV. Provider business mailing address

1441 GUTHRIE DR NW STE 104
CLEVELAND TN
37311-3642
US

V. Phone/Fax

Practice location:
  • Phone: 423-508-9553
  • Fax:
Mailing address:
  • Phone: 423-508-9553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: