Individual
RALPH GLEN OWEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 CENTRAL AVE, AUGUSTA, GA 30904-5733
(706) 733-8202
(706) 736-7806
Mailing address
1710 CENTRAL AVE, AUGUSTA, GA 30904-5733
(706) 733-8202
(706) 736-7806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10628
GA
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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