Individual
RAPHAEL OHAYAGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
6394 CRESTLINE TER APT C, NORCROSS, GA 30092-3884
(770) 885-8791
Mailing address
PO BOX 922511, NORCROSS, GA 30010-2511
(770) 885-8791
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
154726
GA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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