Individual
CHIKELUE TAGBOO EZEKWUECHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3209 DEANS BRIDGE RD, AUGUSTA, GA 30906-4201
(706) 796-7754
(706) 796-7818
Mailing address
4105 ELDERS DR, AUGUSTA, GA 30909-9126
(706) 832-9067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021838
GA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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