Healthcare Provider Details

I. General information

NPI: 1154314755
Provider Name (Legal Business Name): JEFFREY HARRIS LOWREY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 08/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8071 WINCHESTER RD
MEMPHIS TN
38125-8206
US

IV. Provider business mailing address

75 NOTTING CREEK CV
EADS TN
38028-8009
US

V. Phone/Fax

Practice location:
  • Phone: 901-756-6056
  • Fax: 901-624-0702
Mailing address:
  • Phone: 901-351-3100
  • Fax: 901-757-2249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13205
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: