Individual
DR. CHARLES JERRY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2162 WAPPOO HALL RD, CHARLESTON, SC 29412-2059
(843) 795-0625
Mailing address
2162 WAPPOO HALL RD, CHARLESTON, SC 29412-2059
(843) 795-0625
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4704
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047041
—
SC
Enumeration date
04/06/2006
Last updated
02/03/2014
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