Provider Demographics
NPI:1851909550
Name:MCDOWELL, CATHERINE LENISE
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:LENISE
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:OLANTA
Mailing Address - State:SC
Mailing Address - Zip Code:29114-0729
Mailing Address - Country:US
Mailing Address - Phone:843-687-8052
Mailing Address - Fax:
Practice Address - Street 1:3068 PUDDIN SWAMP RD
Practice Address - Street 2:
Practice Address - City:TURBEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29162-9069
Practice Address - Country:US
Practice Address - Phone:843-687-8052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-19
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide