Healthcare Provider Details

I. General information

NPI: 1679894190
Provider Name (Legal Business Name): ETOWAH FAMILY MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 STEELE STATION RD STE B
RAINBOW CITY AL
35906-8722
US

IV. Provider business mailing address

3015 STEELE STATION RD STE B
RAINBOW CITY AL
35906-8722
US

V. Phone/Fax

Practice location:
  • Phone: 256-467-4498
  • Fax: 256-467-4504
Mailing address:
  • Phone: 256-467-4498
  • Fax: 256-467-4504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberMD28124
License Number StateAL

VIII. Authorized Official

Name: COURTNEY M LOWE
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 256-467-4498