Individual
JEREMY MICHEAL OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 ROUNDTREE DR, ELIZABETH CITY, NC 27909-7711
(731) 336-6367
Mailing address
508 ROUNDTREE DR, ELIZABETH CITY, NC 27909-7711
(731) 336-6367
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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