Healthcare Provider Details

I. General information

NPI: 1134923139
Provider Name (Legal Business Name): OWEN FAMILY TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9240 US-82
ALAPAHA GA
31622-4301
US

IV. Provider business mailing address

408 JUNE BUG LN
ALAPAHA GA
31622-5608
US

V. Phone/Fax

Practice location:
  • Phone: 229-206-0980
  • Fax:
Mailing address:
  • Phone: 229-206-0980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY T OWEN
Title or Position: OWNER
Credential:
Phone: 229-646-1710