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Individual

EUGENE EZEKWUECHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4120 AUSTELL RD, AUSTELL, GA 30106
(770) 941-2918
Mailing address
4120 AUSTELL RD, AUSTELL, GA 30106
(770) 941-2918

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023239
GA

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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