Individual
IJEABALUM IBEZUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(301) 755-4539
Mailing address
820 1ST ST NE, WASHINGTON, DC 20002-4243
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10282
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
08/03/2020
Last updated
05/12/2021
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