Provider Demographics
NPI:1396891123
Name:LOWE, CHARLOTTE A (DPH)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:A
Last Name:LOWE
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:P
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPH
Mailing Address - Street 1:2922 OLD BRITAIN CIR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1123
Mailing Address - Country:US
Mailing Address - Phone:423-892-3981
Mailing Address - Fax:423-209-8228
Practice Address - Street 1:921 E 3RD ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2102
Practice Address - Country:US
Practice Address - Phone:423-209-8228
Practice Address - Fax:423-209-8291
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35551835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy