Individual
DR. ANDREW VENTERS OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 838-7457
(704) 838-7435
Mailing address
131 MEDICAL PARK RD STE 302, MOORESVILLE, NC 28117-8525
(704) 660-4524
(704) 660-4106
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2017-02179
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194168161
—
NC
Enumeration date
04/09/2013
Last updated
05/03/2018
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