Individual
TIFFANY NICOLE LOWE CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 ATTAIN ST, FUQUAY VARINA, NC 27526-1972
(919) 235-6571
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2010-00426
NC
207Q00000X
Family Medicine Physician
25MB07330000
NJ
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
2010-00426
NC
207RB0002X
Obesity Medicine (Internal Medicine) Physician
2010-00426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952411944
—
NC
05
—
9133101
—
NJ
Enumeration date
08/30/2006
Last updated
04/06/2023
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