1053334383 NPI number — DR. MARY R HOWELL M.D.

Table of content: DR. MARY R HOWELL M.D. (NPI 1053334383)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053334383 NPI number — DR. MARY R HOWELL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOWELL
Provider First Name:
MARY
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053334383
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
308 N PARRISH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ADEL
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31620-2353
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-896-1510
Provider Business Mailing Address Fax Number:
229-896-1514

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
308 N PARRISH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ADEL
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31620-2353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-896-1510
Provider Business Practice Location Address Fax Number:
229-896-1514
Provider Enumeration Date:
07/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  035658 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 160057800 . This is a "RR MEDICARE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 00616811D , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".