Owen, Ralph G

Owen, Ralph G is an individual health care provider with primary practice located at 340 N Belair Rd , Evans GA 30809-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Owen, Ralph G can be contacted via phone (706) 868-5676.

Contact Information

Primary practice address
340 N Belair Rd Evans GA 30809-3000
Phone: (706) 868-5676
Fax: (706) 722-2824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 034917 Georgia

Profile Details

NPI number 1134195407
LBN Legal business name Owen, Ralph G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 6th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134195407 NPPES
Georgia MEDICAID 000719056I
Georgia Other 157315300
Georgia Other 5254104
Georgia Other 6406065
Georgia Other 906573
Georgia Other P00195693

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