Individual
DR. SAMUEL GRAINGER MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
618 S MAIN ST, REIDSVILLE, NC 27320-5020
(336) 938-0800
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
(336) 851-8427
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9800330
NC
207RC0000X
Cardiovascular Disease Physician
Primary
9800330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1186A
BCBS NC
NC
01
—
31334
PARTNERS MEDICARE
NC
01
—
7878083
AETNA
NC
05
—
891186A
—
NC
01
—
B7750
MEDCOST
NC
Enumeration date
04/17/2006
Last updated
08/25/2021
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