Individual
REGINA NJU AWUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSSISTANT
Contact information
Practice address
655 7TH ST BLDG 700700-A, ROBINS AFB, GA 31098-2227
(478) 327-8487
Mailing address
165 PELICAN LN, RICHMOND HILL, GA 31324-3572
(651) 890-2424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5075
GA
Other
Enumeration date
10/05/2006
Last updated
05/20/2015
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