| Doctor Name: | MR. JERRY JOE LOWDEN |
| NPI Number: | 1235530601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LAPC |
| License Number: | APC 0004232 |
| Business Practice Address: | 1910 Salisbury Way Hinesville, GA - 313139415 |
| Business Phone Number: | 9123321010 |
| Business Fax Number: | |
| Mailing Address: | 686 Harmon Ave, Bldg 206 FORT STEWART |
| State: | GA |
| Postal Code: | 313145512 |
| Phone Number: | 9127672595 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2014 |
| NPI Last Update Date: | 09/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | APC 0004232 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |