Individual
TIMOTHY MCDOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 MAIN ST STE 300, SUITE 300, COLUMBIA, SC 29201-3266
(803) 727-0319
(773) 328-1942
Mailing address
PO BOX 646, COLUMBIA, SC 29202-0646
(803) 727-0319
(773) 328-1942
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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