Owens, Mario Antwan
Owens, Mario Antwan is an sole proprietor health care provider with primary practice located at 4150 Serene Way , Union City GA 30291-5153. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Owens, Mario Antwan can be contacted via phone (678) 215-9947.Contact Information
Primary practice address
4150 Serene Way
Union City GA 30291-5153
Phone: (678) 215-9947
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F01190896 | Georgia |
Profile Details
| NPI number | 1174097448 |
|---|---|
| LBN Legal business name | Owens, Mario Antwan |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2019 |
| Last updated | Jul 13th, 2026 - about 3 months 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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