MARIO ANTWAN OWENS

ATLANTA, GA
NPI1174097448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  F01190896)
Enumeration Date2019-01-19
Last Update Date2019-01-19
Business Address
MARIO ANTWAN OWENS NP
5665 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342-1764
Phone number: 678-843-7001
Mailing Address
MARIO ANTWAN OWENS NP
4150 SERENE WAY
UNION CITY, GA 30291-5153
Phone number: 678-215-9947