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Organization

SHILOH NEUROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM EARL OWENS M.D. (PHYSICIAN/OWNER)
(662) 287-7785
Entity
Organization

Contact information

Practice address
2425 PROPER ST, CORINTH, MS 38834-5394
(662) 287-7785
(662) 287-7876
Mailing address
2425 PROPER ST, CORINTH, MS 38834-5394
(662) 287-7785
(662) 287-7876

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03782535
MS
Enumeration date
07/10/2006
Last updated
10/02/2007
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