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
Phone: (704) 323-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134185697 | NPPES |
| North Carolina | MEDICAID | 89-56721 |
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