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Individual

DR. JOSEPH SAM OWEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4682
(601) 982-7850
(601) 366-8507
Mailing address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4682
(601) 982-7850
(601) 366-8507

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-1826
MS
207RC0000X
Cardiovascular Disease Physician
19803
MS
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
19803
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09072211
MS
Enumeration date
07/31/2007
Last updated
02/05/2024
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