Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 20690 | GA |
N | 111NI0900X | Internist | 20690 | GA |
Y | 207R00000X | Internist | 9668 | AL |
Y | 111NI0900X | Internist | 9668 | AL |
N | 207RG0300X | Geriatric Medicine | 20690 | GA |
N | 207RG0300X | Geriatric Medicine | 9668 | AL |
NPI | 1104910488 |
---|---|
Provider Name | Joseph Rogers Downs III |
First Address | Valley, AL 36854-3616 |
Second Address | Valley, AL 36854-3616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 01/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000009536 | (05) | AL |
000080867 | (05) | AL |
00221581A | (05) | GA |
C73295 | (02) |