Individual
CHRISTIAN EZEAGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BRAMBLEBUSH CHASE, FAYETTEVILLE, GA 30214-2670
(770) 716-1295
Mailing address
833 FOREST PKWY, FOREST PARK, GA 30297-2210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014472
GA
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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