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Organization
IGGY GROUP, LLC
Active
Organization
IGGY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VALENTINE OBIAJULU IGWEBUIKE SR. (PRINCIPAL)
(404) 310-9690
Entity
Organization
Contact information
Practice address
1119 TUMLIN CT, LAWRENCEVILLE, GA 30045-2702
(404) 310-9690
(770) 822-9152
Mailing address
1119 TUMLIN CT, LAWRENCEVILLE, GA 30045-2702
(404) 310-9690
(770) 822-9152
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/27/2018
Last updated
03/31/2021
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