Individual
DR. ALOZIE AMARACHUKWU MBANASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17 COLLINS DR, CARTERSVILLE, GA 30120-2487
(770) 386-9390
(678) 605-9355
Mailing address
17 COLLINS DR, CARTERSVILLE, GA 30120-2487
(770) 386-9390
(678) 605-9355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
96777
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
05/20/2025
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