Individual
MRS. MATACHI MARTHA UGHWANOGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039-3929
(770) 978-9393
(770) 978-9324
Mailing address
3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039-3929
(770) 978-9393
(770) 978-9324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN193606
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP193606
GA
Other
Enumeration date
01/25/2018
Last updated
11/20/2025
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