Individual
SLATER BENJAMIN LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00013753
AL
207R00000X
Internal Medicine Physician
Primary
11050
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119201
—
MS
01
—
11050
MS LICENSE #
MS
01
—
25D0981538
CLIA
MS
01
—
640933050
TAX ID
MS
01
—
73003895
ALABAMA LICENSE #
AL
Enumeration date
11/13/2006
Last updated
11/15/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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