Individual
GARNETT MARCUS LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
313 TEAL DR, RAEFORD, NC 28376-2527
(910) 904-2350
(910) 904-1037
Mailing address
PO BOX 896208, CHARLOTTE, NC 28289-6208
(910) 715-1010
(910) 715-1026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200101238
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1303T
BCBS
NC
01
—
6965764002
CIGNA PAL
—
01
—
7248953
AETNA
—
05
—
891303T
—
NC
01
—
B8019
MEDCOST
—
01
—
FH1001465
FIRST CAROLINA CARE
—
05
—
N01231
—
SC
Enumeration date
10/24/2005
Last updated
06/26/2019
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