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Individual

LENINA O CHI-UKPAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A-GNP

Contact information

Practice address
2942 SECRETARIAT CT, DECATUR, GA 30034
(770) 309-3489
Mailing address
2942 SECRETARIAT CT, DECATUR, GA 30034-3452
(770) 309-3489

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN206960
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN206960
GA

Other

Enumeration date
06/17/2018
Last updated
03/17/2021
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