Individual
JERRY LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 W RIDGE RD, WYTHEVILLE, VA 24382-1044
(276) 625-8820
Mailing address
195 SUNNY RD, MAX MEADOWS, VA 24360-4034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102201787
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00310654
MEDICARE RAILROAD
VA
Enumeration date
06/01/2006
Last updated
12/04/2007
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