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Individual

MS. NNENNA EGBUNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
7231 ROCKBRIDGE RD, LITHONIA, GA 30058-5918
(678) 710-9270
Mailing address
3559 E SOUTH ST, LAKEWOOD, CA 90805-4519

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
58115
CA
363A00000X
Physician Assistant
Primary
8567
GA

Other

Enumeration date
11/14/2017
Last updated
10/20/2023
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