Provider Demographics
NPI:1144659723
Name:MCDOWELL, BENJAMIN SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:SCOTT
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2648 NORTHBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-4919
Mailing Address - Country:US
Mailing Address - Phone:404-213-7607
Mailing Address - Fax:770-904-9038
Practice Address - Street 1:1570 HOLCOMB BRIDGE RD
Practice Address - Street 2:STE 550
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2596
Practice Address - Country:US
Practice Address - Phone:404-213-7607
Practice Address - Fax:770-904-9038
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO09772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor