Provider Demographics
NPI:1881860179
Name:MCDOWELL MEDICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:MCDOWELL MEDICAL ASSOCIATES, P.A.
Other - Org Name:MCDOWELL FAMILY MEDICINE, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:T
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:828-659-9703
Mailing Address - Street 1:1860 SUGAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-5565
Mailing Address - Country:US
Mailing Address - Phone:828-652-8727
Mailing Address - Fax:828-652-1301
Practice Address - Street 1:5920 US HIGHWAY 70 E
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761-9565
Practice Address - Country:US
Practice Address - Phone:828-659-9703
Practice Address - Fax:828-652-4642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40576207Q00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC34D0947561OtherCLIA #
NC690168LMedicaid
NC690168LMedicaid