Provider Demographics
NPI:1750864070
Name:LOWTHER, JILL (AUD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:
Last Name:LOWTHER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 PEACHTREE RD NW STE 350
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1317
Mailing Address - Country:US
Mailing Address - Phone:404-351-4114
Mailing Address - Fax:404-351-4223
Practice Address - Street 1:2140 PEACHTREE RD NW STE 350
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1317
Practice Address - Country:US
Practice Address - Phone:404-351-4114
Practice Address - Fax:404-351-4223
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004047231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist