Individual
MRS. JUSTINA NGOZI ANYANWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
539 HARDEE ST, DALLAS, GA 30132-4711
(770) 505-0531
(770) 485-0570
Mailing address
539 HARDEE ST, DALLAS, GA 30132-4711
(770) 505-0531
(770) 485-0570
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN156181
GA
Other
Enumeration date
08/19/2011
Last updated
08/31/2011
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