Individual
DR. CLAYTON R LOWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 BROAD ST, SUITE 100, SUMTER, SC 29150-4152
(803) 773-5227
(803) 774-5011
Mailing address
325 BROAD ST, SUITE 100, SUMTER, SC 29150-4152
(803) 773-5227
(803) 774-5011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17676
SC
207Q00000X
Family Medicine Physician
Primary
17676
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080193765
MEDICARE RR PIN
SC
05
—
176767
—
SC
Enumeration date
05/27/2006
Last updated
08/23/2013
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