Individual
IJEOMA EZEGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2390 S COBB DR SE, SMYRNA, GA 30080
(678) 556-0673
(678) 556-0892
Mailing address
2390 S COBB DR SE, SMYRNA, GA 30080-1359
(678) 556-0673
(678) 556-0892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022427
GA
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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