Individual
MR. MAGNUS OJUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1365 ROCK QUARRY RD STE 300, STOCKBRIDGE, GA 30281-5024
(678) 206-2424
Mailing address
1217 MCPHERSON LN APT A, NORCROSS, GA 30093-4255
(501) 626-6212
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
530131
GA
363A00000X
Physician Assistant
Primary
9886
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2019
Last updated
09/16/2020
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