Individual
EMMANUEL EZE MORDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 OLD NORCROSS RD, SUITE 210, LAWRENCEVILLE, GA 30045-8716
(770) 822-6360
(678) 442-7648
Mailing address
555 OLD NORCROSS RD, SUITE 210, LAWRENCEVILLE, GA 30045-8716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56894
GA
Other
Enumeration date
02/19/2007
Last updated
07/16/2007
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