Individual
IFEYINWA IN NWAKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 LANIER AVE W, FAYETTEVILLE, GA 30214-7636
(678) 203-9222
Mailing address
500 LANIER AVE W, FAYETTEVILLE, GA 30214-7636
(678) 203-9222
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RN211012
GA
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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