Individual
KINGSLEY OGBUAGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1961 CLOVERCROFT RD NW, ACWORTH, GA 30101-7123
(678) 471-4065
Mailing address
1961 CLOVERCROFT RD NW, ACWORTH, GA 30101-7123
(678) 471-4065
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN266065
GA
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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