James Albert Jowdy, D.O.

Individual provider Active NPI General Practice Physician · Carrollton, VA

NPI 1295930832 · NPPES record last updated Oct 5, 2023

Key facts

NPI
1295930832
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
20A10556 (CA)
Practice address
13206 Beacon Hill Way
Carrollton, VA 23314-3584
Phone
(207) 590-9748
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10556CAMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 20A10556 CA Yes

Addresses

Primary practice location

13206 Beacon Hill Way
Carrollton, VA 23314-3584

Mailing address

13206 Beacon Hill Way
Carrollton, VA 23314-3584
Phone (207) 590-9748

Other practice location 1

6343 Belmont Ave
Dallas, TX 75214-3627
Phone (207) 590-9748

Other names

  • Mr. James Albert Jowdy Other name

Other providers in Carrollton, VA

All providers in Carrollton, VA · General Practice Physician in Virginia

Sources for this page

Verify at the official NPI Registry.