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Organization

GENERATIONS PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEISHA GIBSON LOWTHER M.D. (PHYSICIAN/CEO)
(205) 343-6979
Entity
Organization

Contact information

Practice address
6531 HIGHWAY 69 S, TUSCALOOSA, AL 35405-4087
(205) 343-6979
(205) 345-3343
Mailing address
6531 HIGHWAY 69 S, SUITE A, TUSCALOOSA, AL 35405-4087
(205) 343-6979
(205) 345-3343

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AL
207R00000X
Internal Medicine Physician
Primary
26476
AL
208000000X
Pediatrics Physician
26476
AL

Other

Enumeration date
01/13/2012
Last updated
04/21/2014
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