Individual
MISTY LEE MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
853 N CHURCH ST STE 610, SPARTANBURG, SC 29303-3070
(864) 560-1600
(864) 560-1669
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01078290A
IN
207V00000X
Obstetrics & Gynecology Physician
35722
SC
207V00000X
Obstetrics & Gynecology Physician
LL35772
SC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35722
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01078290A
MEDICAL LICENSE
IN
05
—
357722
—
SC
01
—
SCI2894746
MEDICARE PIN
SC
Enumeration date
06/18/2013
Last updated
10/18/2023
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