Individual
MRS. BRENDA J. LOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER, MA
Contact information
Practice address
6961 MAHONIA PL, LITHONIA, GA 30038-4588
(770) 866-7815
Mailing address
6961 MAHONIA PL, LITHONIA, GA 30038-4588
(770) 866-7815
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7KQ9
—
GA
Enumeration date
05/20/2021
Last updated
05/20/2021
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