Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 64624 | GA |
NPI | 1013272731 |
---|---|
Provider Name | Dr. Charlotte D Owens |
First Address | Atlanta, GA 30310-1458 |
Second Address | Atlanta, GA 30310-1458 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2012 |
Last Update Date | 21/01/2016 |