Individual
MR. ELBERT WYNN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 BLUFF ST, MARION, SC 29571-3804
(843) 431-1105
(843) 431-1112
Mailing address
125 E. CHEVES ST., FLORENCE, SC 29506
(843) 317-4089
(843) 317-4096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
03/22/2007
Last updated
07/08/2007
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