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Organization

LOWRY MEDICAL CLINIC

Active
Parent organization
11050
Organization subpart
Yes

Provider details

NPI number
Legal business name
11050
Authorized official
DR. SLATER BENJAMIN LOWRY MD PLLC (DOCTOR)
(662) 244-8864
Entity
Organization

Contact information

Practice address
362 PARK CREEK DRIVE, COLUMBUS, MS 39705
(662) 244-8864
(662) 328-4149
Mailing address
362 PARK CREEK DRIVE, COLUMBUS, MS 39705
(662) 244-8864
(662) 328-4149

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11050
MS

Other

Enumeration date
02/14/2012
Last updated
02/14/2012
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