Provider Demographics
NPI:1568660553
Name:OWEN, BETHANY MAYS (MD)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:MAYS
Last Name:OWEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BETHANY
Other - Middle Name:FRANCES
Other - Last Name:MAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:PAIN CLINIC ASSOCIATES, PC
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38101-0205
Mailing Address - Country:US
Mailing Address - Phone:901-255-9900
Mailing Address - Fax:901-842-6910
Practice Address - Street 1:55 HUMPHREYS CENTER DR STE 200
Practice Address - Street 2:PAIN CLINIC ASSOCIATES, PC
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2366
Practice Address - Country:US
Practice Address - Phone:901-747-0040
Practice Address - Fax:901-842-6910
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD44853208VP0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine