Owen, Gayle Anne

Owen, Gayle Anne is an sole proprietor health care provider with primary practice located at 596 Bankstown Rd , Brooks GA 30205-2219. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Owen, Gayle Anne can be contacted via phone (770) 856-0890.

Contact Information

Primary practice address
596 Bankstown Rd Brooks GA 30205-2219
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 077331 Georgia

Profile Details

NPI number 1114533387
LBN Legal business name Owen, Gayle Anne
Credentials RN IBCLC LC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2020
Last updated Sep 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114533387 NPPES
Georgia Other 28744 LACTATION

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