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NPI Code Detail

MEDICARE: DR. ROBERT JAMES OWEN M.D.

MEDICARE: DR. ROBERT JAMES OWEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician2014018997MO
2207XS0117XOrthopaedic Surgery of the Spine Physician11262248-1205UT
3207X00000XOrthopaedic Surgery Physician85499GA

General Provider Information

NPI Number : 1073927091
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT JAMES OWEN M.D.
Provider Business Mailing Address
First Line : 1505 NORTHSIDE BLVD STE 3100
Second Line :
City : CUMMING
State : GA
Zip : 30041-7623
Country : US
Telephone Number : 770-977-7777
Fax Number : 855-283-8851
Provider Business Practice Location Address
First Line : 1505 NORTHSIDE BLVD STE 3100
Second Line :
City : CUMMING
State : GA
Zip : 30041-7623
Country : US
Telephone Number : 770-977-7777
Fax Number : 855-283-8851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2014
Last Update Date : 03/02/2026

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