Lowry Medical Clinic | |
362 Park Creek Drive Columbus MS 39705 | |
(662) 244-8864 | |
(662) 328-4149 |
Full Name | Lowry Medical Clinic |
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Speciality | Clinic/Center |
Location | 362 Park Creek Drive, Columbus, Mississippi |
Authorized Official Name and Position | Slater Benjamin Lowry (DOCTOR) |
Authorized Official Contact | 6622448864 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lowry Medical Clinic 362 Park Creek Drive Columbus MS 39705 Ph: (662) 244-8864 | Lowry Medical Clinic 362 Park Creek Drive Columbus MS 39705 Ph: (662) 244-8864 |
NPI Number | 1922371442 |
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Provider Enumeration Date | 02/14/2012 |
Last Update Date | 02/14/2012 |
Medicare PECOS PAC ID | 6608034442 |
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Medicare Enrollment ID | O20120224000012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922371442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 11050 (Mississippi) | Primary |
Provider Name | Slater B Lowry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619048204 PECOS PAC ID: 5698933430 Enrollment ID: I20120224000026 |
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