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Individual

JAMES LEE OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7107 CARATOKE HWY, JARVISBURG, NC 27947
(252) 491-2885
Mailing address
PO BOX 109, JARVISBURG, NC 27947-0109
(252) 491-2885

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38159
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64654
BLUE CROSS
NC
05
8964654
NC
Enumeration date
02/01/2007
Last updated
09/09/2011
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