MEDICARE: DR. WILLIAM BENJAMIN OWENS 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
1	207RP1001X	Pulmonary Disease Physician	26850	SC
2	207R00000X	Internal Medicine Physician	26850	SC
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	26850	SC

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366419178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM BENJAMIN OWENS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 743904
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-3904
Country	:	US
Telephone Number	:	803-296-7320
Fax Number	:	803-296-7330

Provider Business Practice Location Address
First Line	:	1 RICHLAND MEDICAL PARK DR STE 300
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6831
Country	:	US
Telephone Number	:	803-545-5350
Fax Number	:	803-545-5353

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	04/05/2018

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Directions to “ DR. WILLIAM BENJAMIN OWENS M.D.” Practice Location

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