| Matthew Owen, | |
|
504 Wilborn Ave, South Boston, VA 24592-3120 | |
| (434) 517-3020 | |
| Not Available |
| Full Name | Matthew Owen |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 504 Wilborn Ave, South Boston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144026543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0701014549 (Virginia) | Primary |
| Entity Name | Halifax Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588668842 PECOS PAC ID: 4587572805 Enrollment ID: O20040607000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Owen, 2200 Clays Mill Rd, Halifax, VA 24558-2816 Ph: () - | Matthew Owen, 504 Wilborn Ave, South Boston, VA 24592-3120 Ph: (434) 517-3020 |
Miss Rita Kay Lynch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3654 | |
Mr. Jacob Hudson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3653 Fax: 434-517-3043 | |
Shavia Truesdale-el, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Valley Dr, South Boston, VA 24592 Phone: 434-222-4610 | |
Anne Leggett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 554 N Main St, Suite 211, South Boston, VA 24592 Phone: 434-572-8000 | |
Hillary Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 Hamilton Blvd, South Boston, VA 24592 Phone: 434-476-5526 Fax: 434-374-7804 | |
Mr. Norman Scott Spencer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3651 Fax: 434-517-3043 |