Provider Demographics
NPI:1114451200
Name:MCDOWELL GLOBAL LLC
Entity Type:Organization
Organization Name:MCDOWELL GLOBAL LLC
Other - Org Name:MCDOWELL CHROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-213-7607
Mailing Address - Street 1:2648 NORTHBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-4919
Mailing Address - Country:US
Mailing Address - Phone:404-213-7607
Mailing Address - Fax:770-904-9038
Practice Address - Street 1:1570 HOLCOMB BRIDGE RD
Practice Address - Street 2:SUITE 550
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4703
Practice Address - Country:US
Practice Address - Phone:404-213-7607
Practice Address - Fax:770-904-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO09772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty