Provider Demographics
NPI:1962415679
Name:MCDOWELL, LEONARD CRAIG (DC)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:CRAIG
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 CHESNEE HWY
Mailing Address - Street 2:
Mailing Address - City:GEFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341
Mailing Address - Country:US
Mailing Address - Phone:864-489-0008
Mailing Address - Fax:864-489-8008
Practice Address - Street 1:717 CHESNEE HWY
Practice Address - Street 2:
Practice Address - City:GEFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341
Practice Address - Country:US
Practice Address - Phone:864-489-0008
Practice Address - Fax:864-489-8008
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH2347Medicaid
SCCH2347Medicaid