Individual
MRS. CRYSTAL D OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
144 EAST MAIN ST, IRWINTON, GA 31042-2611
(478) 864-3448
(478) 864-1288
Mailing address
144 EAST MAIN STREET, IRWINTON, GA 31042-2611
(478) 864-3448
(478) 864-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048854
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048854
PROVIDER MEDICAL LICENSE
GA
Enumeration date
05/19/2006
Last updated
03/07/2023
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