Individual
KELECHI RUTH UKEGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5270 E FAIRVIEW RD SW, STOCKBRIDGE, GA 30281-5335
(470) 779-2545
Mailing address
5270 E FAIRVIEW RD SW, STOCKBRIDGE, GA 30281-5335
(470) 779-2545
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP284853
GA
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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