Provider Demographics
NPI:1790899433
Name:DOWLING & CALDWELL MD PC
Entity Type:Organization
Organization Name:DOWLING & CALDWELL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:DOWLING
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:256-543-9302
Mailing Address - Street 1:PO BOX 1569
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35902-1569
Mailing Address - Country:US
Mailing Address - Phone:256-543-9302
Mailing Address - Fax:256-547-4539
Practice Address - Street 1:417B S 4TH ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5214
Practice Address - Country:US
Practice Address - Phone:256-543-9302
Practice Address - Fax:256-547-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529602270Medicaid
AL529602270Medicaid