Individual
PHILIP DALE LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CHAMBLISS AVE, SUITE 1, CLEVELAND, TN 37311-3894
(423) 472-6513
(423) 476-2062
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD28789
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109611
—
AL
05
—
3840265
—
TN
01
—
4217848
BLUE CROSS BLUE SHIELD TN
TN
05
—
614085029B
—
GA
Enumeration date
12/30/2005
Last updated
03/07/2023
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