Organization
MCDOWELL & CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MCDOWELL DMD (OWNER DENTIST)
(404) 884-9195
Entity
Organization
Contact information
Practice address
865 S CARROLL RD STE C, VILLA RICA, GA 30180-7056
(770) 459-4131
Mailing address
146 CREEKRISE PL, PALMETTO, GA 30268-2096
(404) 884-9195
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN15411
GA DENTAL LICENSE
GA
Enumeration date
02/20/2023
Last updated
03/10/2023
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