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NPI Code Detail

MEDICARE: PATRICIA KIM LOWE P.A.

MEDICARE: PATRICIA KIM LOWE P.A.
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
1363AS0400XSurgical Physician AssistantTL1227SC
2363A00000XPhysician Assistant06929GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134310998
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA KIM LOWE P.A.
Provider Business Mailing Address
First Line : 212 HOSPITAL DR
Second Line :
City : WASHINGTON
State : GA
Zip : 30673-5619
Country : US
Telephone Number : 706-678-6944
Fax Number : 706-678-6945
Provider Business Practice Location Address
First Line : 212 HOSPITAL DR
Second Line : STE 500
City : WASHINGTON
State : GA
Zip : 30673-5619
Country : US
Telephone Number : 706-678-6944
Fax Number : 706-678-6945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2007
Last Update Date : 07/24/2016

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Directions to “ PATRICIA KIM LOWE P.A.” Practice Location

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