Nancy Lowe, RDMS, RVT

Individual provider Active NPI Sonography Radiologic Technologist · Bogart, GA

NPI 1265006019 · NPPES record last updated May 17, 2021

Key facts

NPI
1265006019
Entity type
Individual (NPI type 1)
Primary specialty
Sonography Radiologic Technologist 2471S1302X
License
159286 (GA)
Practice address
1150 Arlington PL
Bogart, GA 30622-5328
Phone
(912) 272-0477
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
159286GAMDVascular Sonography Radiologic Technologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic Technologist 2471V0105X 159286 GA
Sonography Radiologic Technologist 2471S1302X 159286 GA Yes

Addresses

Primary practice location

1150 Arlington PL
Bogart, GA 30622-5328

Mailing address

1150 Arlington PL
Bogart, GA 30622-5328
Phone (912) 272-0477

Other providers in Bogart, GA

All providers in Bogart, GA · Sonography Radiologic Technologist in Georgia

Sources for this page

Verify at the official NPI Registry.