Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 15361 | SC |
NPI | 1023093317 |
---|---|
Provider Name | Dr. Robert B W Lowery |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29401-2632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2005 |
Last Update Date | 19/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
153611 | (05) | SC |
P00834844 | RAILROAD MEDICARE-RSFPN (01) | SC |