Provider Demographics
NPI:1427226026
Name:MCDOWELL, ANGELA JOY (RN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:JOY
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 RIVER VALLEY TRL
Mailing Address - Street 2:
Mailing Address - City:KATHLEEN
Mailing Address - State:GA
Mailing Address - Zip Code:31047-2135
Mailing Address - Country:US
Mailing Address - Phone:478-218-8745
Mailing Address - Fax:
Practice Address - Street 1:5398 THOMASTON RD STE B
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31220-8110
Practice Address - Country:US
Practice Address - Phone:478-476-8868
Practice Address - Fax:478-476-8161
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN118171163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator