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General NPI Number Information
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NPI Number | 1063894418
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Entity Type | Individual
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Provider Name | MICHAEL STEVEN LOWLEY MBBS BSC (HONS)
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Gender | Male
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 1440 CLIFTON RD NE EMORY SCHOOL OF MEDICINE
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City | ATLANTA
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State | GA
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Zip | 30322-1053
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Country | US
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Telephone | 404-727-3316
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Fax |
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Provider Business Mailing Address
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Address Line | 701 HIGHLAND AVE NE 2417
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City | ATLANTA
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State | GA
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Zip | 30312-1478
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Country | US
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Telephone | 404-263-5339
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 80881
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 7088454
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License Number State | ZZ
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