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Individual

ISOM LOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL PARK DR, CHESTER, SC 29706-9769
(803) 385-6164
Mailing address
PO BOX 49009, GREENWOOD, SC 29649-0001
(864) 223-3070
(864) 223-1396

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10017
SC
207U00000X
Nuclear Medicine Physician
10017
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10017
SC MEDICAL LICENSE#
SC
05
10017
SC
05
100170
SC
01
360002880
RAILROAD MEDICARE
SC
Enumeration date
04/14/2006
Last updated
03/07/2023
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