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Individual
JACK D OWENS
Active
Individual
JACK D OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
16764
MS
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
42801
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121969
—
MS
05
—
0121969
—
MS
05
—
Q073340
—
TN
Enumeration date
10/27/2006
Last updated
01/24/2024
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