Individual
BRIAN EZEAGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2235 GLENWOOD AVE SE, ATLANTA, GA 30316-2307
(404) 373-2858
Mailing address
130 WINTERBERRY RDG, FAYETTEVILLE, GA 30214-2676
(404) 784-9438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034623
GA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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