Individual
LOUIS J OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
451 BANK ST, WOODVILLE, MS 39669-6000
(601) 888-3421
Mailing address
PO BOX 639, CENTREVILLE, MS 39631-0639
(601) 645-5221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05822
MS
207Q00000X
Family Medicine Physician
11998R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115501
—
MS
05
—
1106453
—
LA
Enumeration date
06/08/2006
Last updated
01/19/2010
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