Individual
CHINONSO EZIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-4100
(404) 752-1191
Mailing address
3003 LAWSON DR, MARIETTA, GA 30064-6423
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH022780
GA
207Q00000X
Family Medicine Physician
Primary
92636
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2011
Last updated
07/27/2023
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