Provider Demographics
NPI:1669418828
Name:MCCOWN, ANDREW N (MD)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:N
Last Name:MCCOWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5000 SOUTHLAKE PARK
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-3265
Mailing Address - Country:US
Mailing Address - Phone:205-982-2500
Mailing Address - Fax:205-982-2574
Practice Address - Street 1:5000 SOUTHLAKE PARK
Practice Address - Street 2:SUITE 250
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-3265
Practice Address - Country:US
Practice Address - Phone:205-982-2500
Practice Address - Fax:205-982-2574
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16701208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009932295Medicaid
AL51516791OtherBLUE CROSS BLUE SHIELD
AL1578304OtherCIGNA
AL0004282410OtherAETNA
ALA03706OtherHEALTHSPRING
AL1578304OtherCIGNA