Organization
JEREMY W OWENS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY OWENS M.D. (PHYSICIAN)
(228) 331-3310
Entity
Organization
Contact information
Practice address
15190 COMMUNITY RD, SUITE 260, GULFPORT, MS 39503-3485
(228) 331-3310
Mailing address
15190 COMMUNITY RD, SUITE 260, GULFPORT, MS 39503-3485
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20354
MS
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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