Individual
DR. CYNTHIA DENISE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-2090
(601) 296-2089
Mailing address
PO BOX 361052, GROSSE POINTE, MI 48236-5052
(313) 671-9426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102202981
VA
207R00000X
Internal Medicine Physician
5101007938
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
5101007938
MI
208M00000X
Hospitalist Physician
0102202981
WV
208M00000X
Hospitalist Physician
Primary
11263
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016377
—
MS
01
—
1B4719
MEDICARE
MS
Enumeration date
08/11/2006
Last updated
07/14/2025
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