Individual
DR. MAXINE OWUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 228-2721
Mailing address
911 LAKESIDE VILLA DR # 911, HAMPTON, GA 30228-6351
(315) 395-7874
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
78170
GA
207Q00000X
Family Medicine Physician
Primary
78170
GA
261QU0200X
Urgent Care Clinic/Center
78170
GA
Other
Enumeration date
04/24/2014
Last updated
03/27/2026
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