Individual
GERALD OBIORAH NWAFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 SCENIC HWY, LAWRENCEVILLE, GA 30046-5603
(678) 732-4622
Mailing address
1800 MAYBELL TRL, LAWRENCEVILLE, GA 30044-2076
(678) 732-4622
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
PHCP010600
GA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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