Provider Demographics
NPI:1366780561
Name:MCLEOD, NATALIE BOWEN (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:BOWEN
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 SKINNER MILL RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-1970
Mailing Address - Country:US
Mailing Address - Phone:706-738-6519
Mailing Address - Fax:706-738-2310
Practice Address - Street 1:3234 SKINNER MILL RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-1970
Practice Address - Country:US
Practice Address - Phone:706-738-6519
Practice Address - Fax:706-738-2310
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20457207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine