Individual
ELIJAH D OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1594 FREEDOM BLVD, SUITE 305, FLORENCE, SC 29505-6046
(843) 669-0927
(843) 665-9323
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
045635
CT
2084N0400X
Neurology Physician
Primary
34203
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045635
STATE LICENSE
CT
Enumeration date
07/16/2007
Last updated
07/11/2019
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