Individual
STACEY M LOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 WESLEYAN WAY, MACON, GA 31210-4400
(205) 712-4245
Mailing address
146 WESLEYAN WAY, MACON, GA 31210-4400
(205) 712-4245
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
190569
GA
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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