Individual
TEIMICKA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4168 BUTTERNUT PL, ATLANTA, GA 30349-8105
(404) 202-9484
Mailing address
4168 BUTTERNUT PL, ATLANTA, GA 30349-8105
(404) 202-9484
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-2926703
—
GA
Enumeration date
08/01/2022
Last updated
08/01/2022
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