Organization
IHM SPORTS MEDICINE
Active
Organization
IHM SPORTS MEDICINE
Active
Other names
LT Enterprise
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL THOMAS FAISON DC (CEO/SPORTS MEDICINE CONSULTANT)
(855) 590-9527
Entity
Organization
Contact information
Practice address
5490 S MIAMI BLVD APT 207, DURHAM, NC 27703-8284
(855) 590-9527
Mailing address
PO BOX 1146, MORRISVILLE, NC 27560-1146
(855) 590-9527
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4283
NC
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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