Individual
OLIVE NGOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 TRAYTON WAY, HIRAM, GA 30141-2044
(678) 429-6836
Mailing address
34 TRAYTON WAY, HIRAM, GA 30141-2044
(678) 949-0145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN263572
GA
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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