Provider Demographics
NPI:1710600846
Name:LOWERS, KARIM GEORGE
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:GEORGE
Last Name:LOWERS
Suffix:
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 1:112 E TEDDY BEAR LN
Mailing Address - Street 2:
Mailing Address - City:WAVERLY HALL
Mailing Address - State:GA
Mailing Address - Zip Code:31831-2470
Mailing Address - Country:US
Mailing Address - Phone:706-570-8178
Mailing Address - Fax:
Practice Address - Street 1:6910 RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-2316
Practice Address - Country:US
Practice Address - Phone:706-257-7205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0100481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty