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Individual

IFEOMA NSONWU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6523 FOGGY OAK DR, FAIRBURN, GA 30213-7411
(857) 221-2209
Mailing address
6523 FOGGY OAK DR, FAIRBURN, GA 30213-7411
(857) 221-2209

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PHCP043071
GA
251J00000X
Nursing Care Agency
PHCP043071
GA
253Z00000X
In Home Supportive Care Agency
Primary
PHCP043071
GA
364SH0200X
Home Health Clinical Nurse Specialist
PHCP043071
GA

Other

Enumeration date
07/02/2025
Last updated
07/02/2025
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