Healthcare Provider Details

I. General information

NPI: 1457443707
Provider Name (Legal Business Name): AMY W DOWDY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY WELLS

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 01/09/2025
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 BILL BAKER WAY
BECKLEY WV
25801-1506
US

IV. Provider business mailing address

252 RURAL ACRES DR
BECKLEY WV
25801-3503
US

V. Phone/Fax

Practice location:
  • Phone: 304-461-1110
  • Fax: 304-461-1105
Mailing address:
  • Phone: 304-252-8551
  • Fax: 304-252-1790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2051
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: