Provider Demographics
NPI:1427294966
Name:OWENS, ROMNI MAUDANN (MD)
Entity type:Individual
Prefix:MS
First Name:ROMNI
Middle Name:MAUDANN
Last Name:OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ROMNI
Other - Middle Name:OWENS
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 740015
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-0015
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:773-866-8014
Practice Address - Street 1:677 CASCADE AVE SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-2404
Practice Address - Country:US
Practice Address - Phone:470-444-3143
Practice Address - Fax:470-467-7469
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66167207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine