Mcdowell, Samuel Grainger

Mcdowell, Samuel Grainger is an individual health care provider with primary practice located at 618 S Main St , Reidsville NC 27320-5020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mcdowell, Samuel Grainger can be contacted via phone (336) 938-0800.

Contact Information

Primary practice address
618 S Main St Reidsville NC 27320-5020
Phone: (336) 938-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9800330 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9800330 North Carolina

Profile Details

NPI number 1457315335
LBN Legal business name Mcdowell, Samuel Grainger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Aug 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457315335 NPPES
North Carolina Other 7878083 AETNA
North Carolina Other B7750 AETNA
North Carolina Other 31334 AETNA
North Carolina Other 1186A AETNA
North Carolina MEDICAID 891186A AETNA

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