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Individual

DR. JOE HOWARD OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2012 BROOKSIDE DR, SUITE 9, KINGSPORT, TN 37660-4645
(423) 392-6430
(423) 392-6432
Mailing address
2012 BROOKSIDE DR, SUITE 9, KINGSPORT, TN 37660-4645
(423) 392-6430
(423) 392-6432

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM271
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366437154
NPI
TN
01
246159
BCBS ANTHEM/VA
VA
05
3351168
TN
01
4049239
BCBS TN
TN
Enumeration date
09/17/2005
Last updated
12/13/2009
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