Individual
MRS. VIRGINIA NKECHI EZENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
9400 DEER CROSSING LN, JONESBORO, GA 30236-8019
(404) 290-0434
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
166141
GA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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