Organization
ROGER D OWENS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER DOUGLAS OWENS MD (PHYSICIAN/OWNER)
(770) 532-7501
Entity
Organization
Contact information
Practice address
667 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(770) 532-7501
(770) 532-8322
Mailing address
667 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(770) 532-7501
(770) 532-8322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114298A
—
GA
01
—
07397
BLUE CROSS BLUE SHIELD
GA
01
—
D05542
RAILROAD MEDICARE
—
Enumeration date
03/10/2006
Last updated
11/18/2009
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