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NPI Code Detail

MEDICARE: ISOM LOWMAN MD

MEDICARE: ISOM LOWMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician10017SC
2207U00000XNuclear Medicine Physician10017SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4360002880OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
210017OTHERSCSC MEDICAL LICENSE#
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124082367
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISOM LOWMAN MD
Provider Business Mailing Address
First Line : PO BOX 49009
Second Line :
City : GREENWOOD
State : SC
Zip : 29649-0001
Country : US
Telephone Number : 864-223-3070
Fax Number : 864-223-1396
Provider Business Practice Location Address
First Line : 1 MEDICAL PARK DR
Second Line :
City : CHESTER
State : SC
Zip : 29706-9769
Country : US
Telephone Number : 803-385-6164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 03/07/2023

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Directions to “ ISOM LOWMAN MD” Practice Location

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