Individual
DR. SUSAN LEIGH OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 MATTHEWS TOWNSHIP PKWY, SUITE 200, MATTHEWS, NC 28105-5402
(704) 384-6901
(704) 384-6902
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-6901
(704) 384-6902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110157070
MEDICARE RR
NC
05
—
891060W
—
NC
05
—
N01627
—
SC
Enumeration date
11/17/2005
Last updated
04/20/2023
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