Healthcare Provider Details

I. General information

NPI: 1578520177
Provider Name (Legal Business Name): JOY SIGMON LOWRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 18TH STREET CIR SE
HICKORY NC
28602-1361
US

IV. Provider business mailing address

240 18TH STREET CIR SE
HICKORY NC
28602-1361
US

V. Phone/Fax

Practice location:
  • Phone: 828-624-3105
  • Fax:
Mailing address:
  • Phone: 828-624-3105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9600310
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier10659
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerBCBS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: