Healthcare Provider Details

I. General information

NPI: 1033247200
Provider Name (Legal Business Name): CHARLES EDWARD LOWNES SR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E MARKET ST NCAT STUDENT HEALTH CENTER
GREENSBORO NC
27411-0001
US

IV. Provider business mailing address

2404 BREWINGTON SIBERT PL
GREENSBORO NC
27406-9461
US

V. Phone/Fax

Practice location:
  • Phone: 336-334-7880
  • Fax: 336-334-7264
Mailing address:
  • Phone: 336-274-0274
  • Fax: 336-274-0374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number24834
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: