Individual
DR. GABRIEL OKWUCHIGEMEZU EZUMA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1446 HARPER ST AUGUSTA GA 30912, AUGUSTA, GA 30912-0001
(706) 721-5437
Mailing address
1459 BELLEMEADE FARMS RD SW, MARIETTA, GA 30008-3857
(404) 645-5802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13801
GA
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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