Individual
JOHN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
38158
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000437
—
WV
01
—
4855
PARTNERS
NC
01
—
5693482
AETNA
—
05
—
6037615
—
VA
01
—
64141
MEDCOST
NC
01
—
64415
BCBS
NC
05
—
8964415
—
NC
05
—
Q38158
—
SC
Enumeration date
12/13/2005
Last updated
05/15/2008
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