Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 039092 | GA |
NPI | 1417185042 |
---|---|
Provider Name | Dr. Scott Ferris Dowell |
First Address | Atlanta, GA 30329-4018 |
Second Address | Atlanta, GA 30329-4018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 22/06/2009 |