Individual
BRIAN RICHARDSON LOWDERMILK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 884-9839
Mailing address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 884-9839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83628
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
3668
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
02/25/2008
Last updated
11/09/2020
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