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Individual

NICOLE LOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1901 SPRINGHILL AVE, MOBILE, AL 36607-2303
(251) 300-2240
(251) 300-2249
Mailing address
1901 SPRINGHILL AVE, MOBILE, AL 36607-2303
(251) 300-2240
(251) 300-2249

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA351
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-17953
BCBS
AL
Enumeration date
01/08/2007
Last updated
10/25/2010
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