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Contact Information

JOSEPH S OWEN JR, MD
970 LAKELAND DR STE 61
JACKSON, MS39216-4682
 Phone: 601-982-7850
 Fax: 601-366-8507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSEPH S OWEN JR · (Male)

NPI # 1578753943
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2007
Last updated 02/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 19803
  • MS License # T-1826
  • MS Medicaid 09072211
Hospital affiliation(s)
  • MEMORIAL HOSPITAL AT GULFPORT - (Acute Care)
    4500 13TH ST-P O BOX 1810
    GULFPORT, MS 39502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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