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NPI Code Detail

MEDICARE: MR. EFE K OWEN

MEDICARE:  MR. EFE K OWEN
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
1347C00000XPrivate Vehicle089700663TN

General Provider Information

NPI Number : 1477858256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EFE K OWEN
Provider Business Mailing Address
First Line : 304 S LOWRY ST STE A1
Second Line :
City : SMYRNA
State : TN
Zip : 37167-3493
Country : US
Telephone Number : 615-625-3332
Fax Number : 615-984-4082
Provider Business Practice Location Address
First Line : 304 S LOWRY ST STE A1
Second Line :
City : SMYRNA
State : TN
Zip : 37167-3493
Country : US
Telephone Number : 615-625-3332
Fax Number : 615-984-4082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2011
Last Update Date : 02/17/2026

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Directions to “ MR. EFE K OWEN ” Practice Location

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