Individual
EMMANUEL GWIBUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
776 DONINGTON CIR, LAWRENCEVILLE, GA 30045-3576
(404) 933-7792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN253946
GA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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