Individual
GAYLA S LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 878-4615
(704) 878-7193
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
23350
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7953111
—
NC
Enumeration date
11/01/2006
Last updated
09/19/2014
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