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GOSPEL SUVWE OFUYAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046-3371
(770) 962-9977
(770) 339-9804
Mailing address
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046-3371
(770) 962-9977
(770) 339-9804

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
432397
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
RN319054
GA

Other

Enumeration date
08/22/2022
Last updated
07/17/2024
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