Individual
PEGGY L OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5692 REMMINGTON DR, RUSSELLVILLE, TN 37860-9376
(423) 231-8887
Mailing address
5692 REMMINGTON DR, RUSSELLVILLE, TN 37860-9376
(423) 231-8887
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
170636
TN
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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