Individual
ABIGAIL OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 OGLETHORPE AVE, SUITE B, ATHENS, GA 30606-2129
(706) 614-3549
Mailing address
1180 STONE SHOALS TER, WATKINSVILLE, GA 30677-2768
(706) 614-3549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006520
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347878689A
—
GA
Enumeration date
12/19/2006
Last updated
11/22/2011
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