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Individual

PRECIOUS IKPEAMAROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
150 KATHI AVE, FAYETTEVILLE, GA 30214-1636
(404) 936-9930
Mailing address
175 NORTH DR, FAYETTEVILLE, GA 30214-2617
(404) 936-9930

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN339085
GA

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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