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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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