Individual
BETHANY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN210885
GA
Other
Enumeration date
07/16/2017
Last updated
10/20/2017
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