MEDICARE: SUZANNE LOWE

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1467238048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE LOWE

Provider Business Mailing Address
First Line	:	PO BOX 479
Second Line	:
City	:	BELTON
State	:	SC
Zip	:	29627-0479
Country	:	US
Telephone Number	:	864-276-6525
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 ANDERSON ST STE B
Second Line	:
City	:	BELTON
State	:	SC
Zip	:	29627-2148
Country	:	US
Telephone Number	:	864-276-6525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	09/07/2023

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Directions to “ SUZANNE LOWE ” Practice Location

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