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MAWUENA AGBONYITOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
Mailing address
MERCY CARE, 424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
078804
GA
2084P0804X
Child & Adolescent Psychiatry Physician
078804
GA

Other

Enumeration date
03/19/2012
Last updated
07/21/2022
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