MEDICARE: DR. JONATHAN LOWMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036213	GA

General Provider Information

NPI Number	:	1699748061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN LOWMAN MD

Provider Business Mailing Address
First Line	:	4720 JONESBORO RD
Second Line	:	SUITE 4720-11
City	:	UNION CITY
State	:	GA
Zip	:	30291-1994
Country	:	US
Telephone Number	:	770-631-6800
Fax Number	:	770-361-6848

Provider Business Practice Location Address
First Line	:	4720 JONESBORO RD
Second Line	:	SUITE 4720-11
City	:	UNION CITY
State	:	GA
Zip	:	30291-1994
Country	:	US
Telephone Number	:	770-631-6800
Fax Number	:	770-361-6848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	11/01/2016

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