Individual
DR. JEREMY WAYNE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 VEGA ST, PASCAGOULA, MS 39581-5305
(228) 696-9224
(228) 696-9228
Mailing address
2230 COWAN HWY, WINCHESTER, TN 37398-2627
(931) 962-3500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20354
MS
2084P0800X
Psychiatry Physician
40512
KY
2084P0800X
Psychiatry Physician
Primary
42755
TN
Other
Enumeration date
11/30/2006
Last updated
06/18/2018
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