Individual provider · Type 1 NPI
Mario Antwan Owens, NP
Family Nurse Practitioner · Union City, GA
NPI number
1174097448
Active
Practice location
4150 Serene Way
Union City, GA 30291-5153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F01190896 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174097448
Mario Antwan Owens, NP's National Provider Identifier is 1174097448, issued on Jan 19, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Union City, GA. The record was last updated on Jul 13, 2026.