MEDICARE: DR. DAVID L TOWNSEND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	127213	NC
2	207R00000X	Internal Medicine Physician	069265	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144232281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L TOWNSEND M.D.

Provider Business Mailing Address
First Line	:	2727 PACES FERRY ROAD
Second Line	:	SUITE 1-1100 (ATTN: DENISE)
City	:	ATLANTA
State	:	GA
Zip	:	30339
Country	:	US
Telephone Number	:	470-271-3421
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 HAWTHORNE PARK
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-2147
Country	:	US
Telephone Number	:	706-353-8700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	06/27/2018

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