Individual
AMENZE OMORUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1500
Mailing address
2336 DAWSON RD STE 1500, ALBANY, GA 31707-2802
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17548
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2021
Last updated
05/08/2025
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