Organization
LOWDERGROUP LLC
Active
Organization
LOWDERGROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILT A LOWDER PHD (PRESIDENT)
(864) 239-4110
Entity
Organization
Contact information
Practice address
86 VILLA RD STE B, GREENVILLE, SC 29615-3052
(864) 239-4110
(864) 242-9808
Mailing address
86 VILLA RD STE B, GREENVILLE, SC 29615-3052
(864) 239-4110
(864) 242-9808
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1029
SC
103TC0700X
Clinical Psychologist
1194
SC
2084P0804X
Child & Adolescent Psychiatry Physician
34500
SC
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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