Individual
RALPH G OWEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
034917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000719056I
—
GA
01
—
157315300
EMPLOYMENT STANDARD
—
01
—
5254104
AETNA
—
01
—
6406065
CIGNA
—
01
—
906573
BLUE CROSS
GA
01
—
P00195693
MEDICARE RAILROAD
GA
Enumeration date
02/27/2006
Last updated
01/06/2010
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