Jeremy Micheal Owens

NPI #1922171792 in Elizabeth City, North Carolina

Provider Information

NPI Number: 1922171792
Entity Type: Individual
Name: Jeremy Micheal Owens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 508 ROUNDTREE DR
City: Elizabeth City
State: North Carolina
ZIP Code: 27909-7711
Phone: (731) 336-6367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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