Individual
DR. TONY LAMAR OWENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9404 HIGHWAY 78 SUITE 100, LADSON, SC 29456-3909
(843) 737-0437
(843) 789-3053
Mailing address
9404 HIGHWAY 78 SUITE 100, LADSON, SC 29456-3909
(843) 737-0437
(843) 789-3053
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
201000443
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
33911
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339119
—
SC
Enumeration date
11/20/2007
Last updated
05/01/2020
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