Provider Demographics
NPI:1225658511
Name:TOWLES, LOUIS P III
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:P
Last Name:TOWLES
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 ESSIE AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-2424
Mailing Address - Country:US
Mailing Address - Phone:678-618-6630
Mailing Address - Fax:678-618-6630
Practice Address - Street 1:755 COMMERCE DR STE 600
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2619
Practice Address - Country:US
Practice Address - Phone:404-589-1228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist