Individual
DENNIS R. OWNBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912
(706) 721-2390
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
044978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000777147A
—
GA
05
—
G70542
—
SC
Enumeration date
10/02/2006
Last updated
11/30/2012
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