MEDICARE: PAMELA J OWENS D.C.

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
1	111N00000X	Chiropractor	3024	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2298377A	OTHER	NC	INDIVIDUAL PROV #

General Provider Information

NPI Number	:	1538133376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA J OWENS D.C.

Provider Business Mailing Address
First Line	:	PO BOX 309
Second Line	:
City	:	PICKENS
State	:	SC
Zip	:	29671-0309
Country	:	US
Telephone Number	:	864-850-1441
Fax Number	:	864-850-1461

Provider Business Practice Location Address
First Line	:	6934 BEACH DR SW
Second Line	:
City	:	OCEAN ISLE BEACH
State	:	NC
Zip	:	28469-5797
Country	:	US
Telephone Number	:	910-575-2225
Fax Number	:	910-575-2275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	08/03/2010

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