Individual
INZA OWUSU-YAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2005 PRINCE AVE, ATHENS, GA 30606-6032
(706) 208-9700
Mailing address
1021 HOLCOMB CT, BOGART, GA 30622-2391
(706) 338-7742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
146422
GA
Other
Enumeration date
08/19/2017
Last updated
08/19/2017
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