Individual
CYNTHIA IFEYINWA ENEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN276123
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
NCO-000001
GA
Other
Enumeration date
03/05/2024
Last updated
03/18/2024
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