Provider Demographics
NPI:1194419010
Name:LOWE, SKYLAR ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:SKYLAR
Middle Name:ELIZABETH
Last Name:LOWE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 ROCK ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4235
Mailing Address - Country:US
Mailing Address - Phone:770-412-0005
Mailing Address - Fax:770-467-9550
Practice Address - Street 1:210 ROCK ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4235
Practice Address - Country:US
Practice Address - Phone:770-412-0005
Practice Address - Fax:770-467-9550
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010998111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor