Provider Demographics
NPI:1114517273
Name:HURLEY, DAVID LOWELL (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LOWELL
Last Name:HURLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70594
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37614-1708
Mailing Address - Country:US
Mailing Address - Phone:828-550-0994
Mailing Address - Fax:
Practice Address - Street 1:ROOM 330 BLDG 7 MAPLE AVE
Practice Address - Street 2:GATTON COLLEGE OF PHARMACY
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37614
Practice Address - Country:US
Practice Address - Phone:018-285-5009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator