Individual
GEORGE GREGOR OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO, FNAO
Contact information
Practice address
4209 LASSITER MILL RD, SUITE 110, RALEIGH, NC 27609-5794
(919) 783-5863
(919) 783-5864
Mailing address
4209 LASSITER MILL RD, SUITE 110, RALEIGH, NC 27609-5794
(919) 783-5863
(919) 783-5864
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NC 1860
NC
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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