Provider Demographics
NPI:1982656690
Name:LOWRY, JAMES WATKINS (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WATKINS
Last Name:LOWRY
Suffix:
Gender:M
Credentials:MD
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 601151
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1151
Mailing Address - Country:US
Mailing Address - Phone:704-480-1087
Mailing Address - Fax:704-480-1087
Practice Address - Street 1:201 E GROVER ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3917
Practice Address - Country:US
Practice Address - Phone:704-480-1087
Practice Address - Fax:704-480-1150
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800948174400000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89066NRMedicaid
NC1164POtherBSNC
NC2265414Medicare PIN
NC89066NRMedicaid