Individual
SHEILAH ISIOMA ESUZOR-AVILEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 GREENBELT DR, GRIFFIN, GA 30224-4507
(770) 358-8338
Mailing address
323 INTERLAKE PASS, MCDONOUGH, GA 30252-8056
(678) 749-8290
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
201732
GA
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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