Healthcare Provider Details

I. General information

NPI: 1124082367
Provider Name (Legal Business Name): ISOM LOWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK DR
CHESTER SC
29706-9769
US

IV. Provider business mailing address

PO BOX 49009
GREENWOOD SC
29649-0001
US

V. Phone/Fax

Practice location:
  • Phone: 803-385-6164
  • Fax:
Mailing address:
  • Phone: 864-223-3070
  • Fax: 864-223-1396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number10017
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number10017
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: