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Physician Compare National (NPI:1730278839)

HEALTHCARE PROVIDER: SUSAN MARIE MCDOWELL D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1730278839
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426955972
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120502000456
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MCDOWELL
Individual professional last name
Provider First Name SUSAN
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Individual professional's medical school
Graduation Year 2001
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name FIVE FORKS CHIROPRACTIC PA
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 5698672145
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 7 FIVE FORK PLAZA CT
Group Practice or individual's line 1 address
Line 2 Street Address SUITE D
Group Practice or individual's line 2 address
City SIMPSONVILLE
Group Practice or individual's city
State SC
Group Practice or individual's state
Zip Code 296815461
Group Practice or individual's zip code (9 digits when available)
Phone Number 8644587008
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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