Individual
MR. EMMANUEL AMWENBA ENOGHAYIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
157 CAMBRIDGE WAY, MACON, GA 31220-8736
(478) 954-3650
Mailing address
157 CAMBRIDGE WAY, MACON, GA 31220-8736
(478) 954-3650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003591
GA
Other
Enumeration date
05/12/2008
Last updated
08/14/2017
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