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Individual
DR. CHARLES JERRY OWENS
Active
Individual
DR. CHARLES JERRY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4704
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047041
—
SC
Enumeration date
04/06/2006
Last updated
02/03/2014
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