Mcgowen, Timothy Wade

Mcgowen, Timothy Wade is an individual health care provider with primary practice located at 170 Kimel Park Dr , Winston-Salem NC 27103-6946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Mcgowen, Timothy Wade can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
170 Kimel Park Dr Winston-Salem NC 27103-6946
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 35982 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35982 North Carolina

Profile Details

NPI number 1134185697
LBN Legal business name Mcgowen, Timothy Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jun 4th, 2014 - about 10 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 1134185697 NPPES
North Carolina MEDICAID 89-56721

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