| Roger D Owens Md Pc | |
|
667 Lanier Park Dr Gainesville GA 30501-2059 | |
| (770) 532-7501 | |
| (770) 532-8322 |
| Full Name | Roger D Owens Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 667 Lanier Park Dr, Gainesville, Georgia |
| Authorized Official Name and Position | Roger Douglas Owens (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7705327501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger D Owens Md Pc 667 Lanier Park Dr Gainesville GA 30501-2059 Ph: (770) 532-7501 | Roger D Owens Md Pc 667 Lanier Park Dr Gainesville GA 30501-2059 Ph: (770) 532-7501 |
| NPI Number | 1194793539 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194793539 | NPI | - | NPPES |
| D05542 | Other | RAILROAD MEDICARE | |
| 00114298A | Medicaid | GA | |
| 07397 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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