Individual
CLARA CHINYEAKA UGWUIBE-OGUNSEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 812-3530
(770) 812-3531
Mailing address
20 HERRELL RD, VILLA RICA, GA 30180-5527
(770) 812-3530
(770) 812-3531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-NP187080
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP187080
GA
Other
Enumeration date
03/01/2012
Last updated
12/12/2025
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