Individual
CHIZOBA ODIMGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 RAINTREE WAY, PORT WENTWORTH, GA 31407-3605
(912) 237-1681
Mailing address
18 RAINTREE WAY, PORT WENTWORTH, GA 31407-3605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030626
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH030626
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
04/06/2020
Last updated
11/27/2023
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