Individual
AUDREY GRIFFIN OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
504 REDMOND RD NW, ROME, GA 30165-1416
(706) 235-3855
(706) 290-2710
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN200411
GA
Other
Enumeration date
02/21/2014
Last updated
06/18/2015
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