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Individual

GRANT OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 778-3381
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/08/2022
Last updated
06/25/2024
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