Individual
COLLINS U EKWENUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BACHALOR OF SCIENCE
Contact information
Practice address
2555 ROSEDALE RD, SNELLVILLE, GA 30078-4101
(404) 863-7942
Mailing address
PO BOX 464031, LAWRENCEVILLE, GA 30042-4031
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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