Provider Demographics
NPI:1275568644
Name:OWENS, JAMES H (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:OWENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7655 POPLAR AVENUE
Mailing Address - Street 2:SUITE 385
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-4932
Mailing Address - Country:US
Mailing Address - Phone:901-753-4040
Mailing Address - Fax:901-753-4201
Practice Address - Street 1:7655 POPLAR AVENUE
Practice Address - Street 2:SUITE 385
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-4932
Practice Address - Country:US
Practice Address - Phone:901-753-4040
Practice Address - Fax:901-753-4201
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD8151208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3171313Medicaid
B03461Medicare UPIN
TN3171313Medicare ID - Type Unspecified