Individual
DR. EBENEZER ESSUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3584 WESLEY CHAPEL RD, DECATUR, GA 30034-5215
(770) 987-9093
(770) 987-9264
Mailing address
3584 WESLEY CHAPEL RD, DECATUR, GA 30034-5215
(770) 987-9093
(770) 987-9264
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030996
GA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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