Doctor Name: | DR. LYNN M.S. OWENS |
NPI Number: | 1457321747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 17379 |
Business Practice Address: | 2310 Wade Hampton Blvd Greenville, SC - 296151043 |
Business Phone Number: | 8642925915 |
Business Fax Number: | 8642447734 |
Mailing Address: | 29 Summercrest Cir, SIMPSONVILLE |
State: | SC |
Postal Code: | 296814664 |
Phone Number: | 8642925915 |
Fax Number: | 8642447734 |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 10/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |