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Individual

HARRY CLIFTON OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 339-8815
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
12834
GA

Other

Enumeration date
06/03/2021
Last updated
06/03/2021
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