Individual
OLIVE EGBUNIWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
629 RONALD REAGAN DR STE C, EVANS, GA 30809-7607
(706) 868-0319
(706) 868-3719
Mailing address
629 RONALD REAGAN DR STE C, EVANS, GA 30809-7607
(706) 868-0319
(706) 868-3719
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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