Individual
CHRISSY OWENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
1837 WILBANKS RD, ALTO, GA 30510-3363
(706) 768-5325
Mailing address
1837 WILBANKS RD, ALTO, GA 30510-3363
(706) 768-5325
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
443117
GA
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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