Individual
DR. NNENNA EZEILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
(770) 345-6611
Mailing address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
(770) 345-6611
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125.064900
IL
207Y00000X
Otolaryngology Physician
Primary
81418
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003220203C
—
GA
05
—
003220203D
—
GA
05
—
Q086978
—
TN
Enumeration date
06/25/2014
Last updated
05/24/2026
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