Individual
GRACE OTIKEKE OHUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(404) 278-0007
Mailing address
PO BOX 3152, LOGANVILLE, GA 30052-1970
(404) 358-2151
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN231497
GA
363L00000X
Nurse Practitioner
Primary
RN231497
GA
Other
Enumeration date
01/05/2024
Last updated
03/06/2024
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