Organization
ALLERGY AND ASTHMA CENTER OF APPALACHIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E LOWE III M.D. (PHYSICIAN)
(606) 433-0591
Entity
Organization
Contact information
Practice address
5425 N MAYO TRL, SUITE 101, PIKEVILLE, KY 41501-2966
(606) 433-0591
(606) 433-0594
Mailing address
5425 N MAYO TRL, SUITE 101, PIKEVILLE, KY 41501-2966
(606) 433-0591
(606) 433-0594
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
37578
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000483090
BLUE CROSS BLUE SHIELD
KY
01
—
11175801
CAQH
KY
01
—
20441212
TRICARE/CHAMPUS
KY
05
—
64063340
—
KY
Enumeration date
10/05/2006
Last updated
01/18/2012
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