Individual
MR. DWIGHT ANTONIO OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 PEACHTREE ST NW, SUITE 640, ATLANTA, GA 30309-2451
(404) 575-4785
(404) 575-4786
Mailing address
1720 PEACHTREE ST NW, PEACHTREE 25TH BUILDING STE 924, ATLANTA, GA 30309-2451
(404) 575-4785
(404) 575-4786
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
043105
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00851309A
—
GA
Enumeration date
07/24/2006
Last updated
08/10/2012
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