Individual
DR. ANTHONY C ONYEGBULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7444 HANNOVER PKWY S, SUITE 150, STOCKBRIDGE, GA 30281-9303
(770) 629-2337
(770) 629-5194
Mailing address
7444 HANNOVER PKWY S, STOCKBRIDGE, GA 30281-9303
(770) 629-2337
(770) 629-5194
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
053348
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
696378996B
—
GA
Enumeration date
10/03/2006
Last updated
08/14/2014
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