Provider Demographics
NPI:1760472013
Name:MCDOWELL, WILLIAM JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:MCDOWELL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 WINDSONG LOOP
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36093-3065
Mailing Address - Country:US
Mailing Address - Phone:334-514-6346
Mailing Address - Fax:
Practice Address - Street 1:1 PLASTICS DR
Practice Address - Street 2:
Practice Address - City:BURKVILLE
Practice Address - State:AL
Practice Address - Zip Code:36752-4001
Practice Address - Country:US
Practice Address - Phone:334-832-5028
Practice Address - Fax:334-832-5008
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13694207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSC72585Medicare UPIN