Healthcare Provider Details

I. General information

NPI: 1023066941
Provider Name (Legal Business Name): BARRIE DOUGLAS LOWMAN P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5669 PEACHTREE DUNWOODY RD NE SUITE 100
ATLANTA GA
30342-1786
US

IV. Provider business mailing address

5669 PEACHTREE DUNWOODY RD NE SUITE 100
ATLANTA GA
30342-1786
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-0404
  • Fax: 404-847-0423
Mailing address:
  • Phone: 404-256-0404
  • Fax: 404-847-0423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number000815
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: