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Organization

MID-SOUTH PODIATRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AARON M OWENS DPM (DOCTOR)
(931) 629-7176
Entity
Organization

Contact information

Practice address
1950 PICKWICK ST, SAVANNAH, TN 38372-5309
(931) 629-7176
(931) 223-5459
Mailing address
3203 CARRINGTON LN, COLUMBIA, TN 38401-8645
(931) 629-7176
(931) 223-5459

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3370132
TN
Enumeration date
09/25/2007
Last updated
05/14/2009
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