Healthcare Provider Details

I. General information

NPI: 1144420118
Provider Name (Legal Business Name): AARON MICHAEL OWENS D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 05/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3203 CARRINGTON LN
COLUMBIA TN
38401-8645
US

IV. Provider business mailing address

3203 CARRINGTON LN
COLUMBIA TN
38401-8645
US

V. Phone/Fax

Practice location:
  • Phone: 931-629-7176
  • Fax: 931-223-5459
Mailing address:
  • Phone: 931-629-7176
  • Fax: 931-223-5459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberDPM 400
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number80116
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: