Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2014018997 | MO |
Y | 207X00000X | Orthopaedic Surgeon | 85499 | GA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 11262248-1205 | UT |
NPI | 1073927091 |
---|---|
Provider Name | Dr. Robert James Owen |
First Address | Cumming, GA 30041-7623 |
Second Address | Cumming, GA 30041-7623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2014 |
Last Update Date | 15/04/2021 |