Individual
STEVEN W. OWEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 WHITCHER STREET NE, SUITE 2100, MARIETTA, GA 30060
(770) 423-0595
(770) 874-1614
Mailing address
100 STONEFOREST DR STE 130, WOODSTOCK, GA 30189-4881
(770) 423-0595
(770) 388-1627
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
026907
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000425191B
—
GA
Enumeration date
08/26/2005
Last updated
04/22/2020
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