Basic Information
Provider Information
NPI: 1013172816
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOWNING
FirstName: MICHELLE
MiddleName: ELIZABETH
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3104 BLUE LAKE DR STE 110
Address2:  
City: VESTAVIA
State: AL
PostalCode: 352432372
CountryCode: US
TelephoneNumber: 2059771949
FaxNumber:  
Practice Location
Address1: 2301 ERWIN RD, ROOM 5688 HAFS
Address2: BOX 3094 DUMC
City: DURHAM
State: NC
PostalCode: 277100001
CountryCode: US
TelephoneNumber: 9196816944
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/22/2008
LastUpdateDate: 05/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X29660ALY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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