Individual
DR. HENRIETTA CHIBUGO OBIALO-NZERUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 SALEM RD SE, CONYERS, GA 30013-1843
(770) 929-8711
(770) 483-7516
Mailing address
2240 SALEM ROAD,SOUTH EAST, CONYERS, GA 30013
(770) 929-8711
(770) 483-7516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020884
GA
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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