Individual
FREDIA B OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 N 2ND ST, ALBEMARLE, NC 28001-2822
(704) 550-5044
(704) 550-5066
Mailing address
1220 RIDGE ST, ALBEMARLE, NC 28001-9571
(704) 408-6950
(704) 550-5066
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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