Provider Demographics
NPI:1801226139
Name:LOWE, TAMMY LEA (CSA)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:LEA
Last Name:LOWE
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1175 COOK RD STE 230
Mailing Address - Street 2:RMC PALMETTO SURGICAL GROUP/MEDICAL ARTS CENTER
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118-8201
Mailing Address - Country:US
Mailing Address - Phone:803-395-3900
Mailing Address - Fax:803-395-3920
Practice Address - Street 1:1175 COOK RD STE 230
Practice Address - Street 2:RMC PALMETTO SURGICAL GROUP/MEDICAL ARTS CENTER
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-8201
Practice Address - Country:US
Practice Address - Phone:803-395-3900
Practice Address - Fax:803-395-3920
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH2528246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant