Individual
MRS. VICTORINE MAFOUEKA NGUENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3664 CLUB DR STE 201, LAWRENCEVILLE, GA 30044-2959
(678) 380-8433
(678) 380-8437
Mailing address
2012 LITTLE RIVER DR, SUWANEE, GA 30024-3266
(770) 314-9245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
063092
GA
Other
Enumeration date
04/18/2008
Last updated
12/01/2009
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