Individual
ASSUMPTA OGBEDEAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-FNP-C
Contact information
Practice address
2920 HIGHWAY 138 NE, CONYERS, GA 30013-1110
(303) 214-8017
Mailing address
PO BOX 51, JERSEY, GA 30018-0051
(303) 214-8017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN232512
GA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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