Provider Demographics
NPI:1861482341
Name:LOWE, JASON B (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:B
Last Name:LOWE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4140 FERNCREEK DR
Mailing Address - Street 2:STE 801
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2563
Mailing Address - Country:US
Mailing Address - Phone:910-484-2171
Mailing Address - Fax:910-484-4568
Practice Address - Street 1:4140 FERNCREEK DR
Practice Address - Street 2:SUITE 801
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-2563
Practice Address - Country:US
Practice Address - Phone:910-484-2171
Practice Address - Fax:910-484-4568
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2018-11-09
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Provider Licenses
StateLicense IDTaxonomies
NC2007-01767207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery