Owens, Mary

Owens, Mary is an individual health care provider with primary practice located at 424 Guyton Ct , Mullins SC 29574-6014. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Owens, Mary can be contacted via phone (843) 423-8292.

Contact Information

Primary practice address
424 Guyton Ct Mullins SC 29574-6014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X South Carolina

Profile Details

NPI number 1841962842
LBN Legal business name Owens, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2021
Last updated Sep 29th, 2021 - 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 1841962842 NPPES
South Carolina MEDICAID 251SOOOOOX

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